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Please register me for the weekend.

Please choose the option that applies.

I am registering myself only. I am registering a couple. I am registering a family Other

If you are registering a family, please put names and ages of minor children below.

Having this information will help us to plan activities, especially for children.

If you answered "yes" to either of the previous two questions, please indicate what office you hold or are seeking and where.

Yes, I want to help promote Marble Country's God and Country Celebration!

Check all that apply.

Please send brochures and I will get them into the hands of people who are likely to come. I want to make a donation beyond the Registration Fees to help bless the great speakers you have scheduled. Keep me on your email list and I will forward your material to my friends. I will send your promo material to my Conservative network. (Pease give further information in the "Other" option box below.) Other

I know a speaker who would be a great fit for future God and Country Celebrations!

Please provide name and pertinent details.

Please tell us how you heard about our event. Brochure Website Email Friend Other

REGISTER HERE!