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Sample Teaching Event Name

Here is where descriptive text would go about the specific event.

Event Registration Form

Payment:

You may pay either by mailing a check or but submitting payment through PayPal. Payment instructions will be emailed to you upon submission of this form.

Thank you for registering!

Event Reg Form

Contact

Dr. Jerry R. Wright

322 Sycamore Dr.

Flat Rock, NC 28731

Tel: 770.656.3818

© 2021 by Jerry R. Wright.

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