Rtn Del

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* Indicates required field

Name *

First

Last

Email *

Phone Number *

Organisation/Company *

Role/title *

Church Involved in *

Age *

State *

Gender *

Do you want accommodation onsite at mantra (accommodation at mantra for return delegates is additional to the conference fee)? *

WHAT YEAR OR YEARS DID YOU ATTEND GATHERING? *

2017 2018 2019

I would like to attend Gathering in 2021 and agree to cover my conference costs of $349 *

I agree

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