Swollen Liver More Condition_symptoms

REGISTRATION FORM




Sons of the King - Camp Easter 2007




APPLICATION FORM PLEASE WRITE IN CAPITAL LETTERS


Name: Last Name:

born: Town:

address:

ZIP code: City:

e-mail: mobile: phone:

attend church? SI '() NO ()

What?

Full Address:

who you were invited?

Any allergies to food and drink:

registration fee: € 110.00

advance at registration (non refundable) € 30.00


have any questions please contact:

and Mimmo Katia Albanese
Tel: 011-3291519
Mobile: 340-0578975
e-mail: pentagramma@fastwebnet.it