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Creating Empowering Opportunities For Women
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Staff Confirmation Payment Form
Karen & Julie
2017-07-06T11:25:25-05:00
Staff Confirmation Payment Form
Staffing Fee
Billing Information
I was selected to staff the following Woman Within Weekend:
*
-- Select --
October 24-27, 2019 (North Zulch, Texas)
First Name
*
Last Name
*
Address
*
Address 2
City
*
State / Province
*
Zip / Postal Code
*
Email Address
*
Mobile
*
Alternate Phone
What is 4+4?
*
Additional Donation
Additional Donation None
Additional Donation
Additional Donation
Additional Donation
Additional Donation
Additional Donation
Staffing Fee
$0.00
Comments
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