Women in the Word Ministry Fall 2020 Registration - Jeremiah Registration Fee Price: Session*Choose OneWednesday MorningTuesday EveningTuesday Evening Online ZoomName First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Cell/Home Number*BirthdayHome ChurchI Would Like to Serve Greeting/Registration Social Media Coffee Setup Coffee Cleanup A/V Sound Event planning Due to Covid-19, we will not be offering childcare services at this time. We will still offer a homeschool area for independent learning for grades 3 and above. Homeschool - Independant Work (3rd Grade or Higher) NeededNameAgeNameAgeCommentsCode If you were given a code, please enter it here, and then click on the Apply ButtonTotal $0.00 Payment InformationCard Details Cardholder Name Δ