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Christian Association for Prison Aftercare
 


National Prisoner Re-Entry Conference 2009

Online Registration and Payment

October 15 - 18, 2009

You have selected to register and pay online. Please have your credit card ready (Visa, MasterCard, American Express or Discover) and submit your payment online through Paypal. Thank you!

Payments are securely processed through Paypal (find out more about Paypal) . You do NOT need a Paypal account to use this credit card payment method.

If you would like to register by phone or mail please click here.

Registrations are transferable but are NOT refundable after 9/15/2009.

Required field *

Organization/Church Name
First Name *
Last Name *
Work Phone *
Work Fax
E-mail Address *
Address *
City *
State or Province *
Zip Code *
Country
Website
Please check all that apply:


Additional Registrant (Optional):  
   
Organization/Church Name
First Name *
Last Name *
Work Phone *
Work Fax
E-mail Address *
Address *
City *
State or Province *
Zip Code *
Country
Website
Please check all that apply:
  


Additional Registrant (Optional):  
   
Organization/Church Name
First Name *
Last Name *
Work Phone *
Work Fax
E-mail Address *
Address *
City *
State or Province *
Zip Code *
Country
Website
Please check all that apply:
  


Please contact the CAPA office at (313) 875-3883 x10 if you do not receive a Conference Confirmation package by e-mail or mail within 10 business days.

 

  
 
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