Name:__________________________________________________________

 

Adress:_________________________________________________________

 

Phone #:________________________________________________________

 

Ward & Stake:_________________________________________________

 

Cost:  $30.00 for entire conference

            $5.00 if only attending the dance.

 

Payment Options:  Paypal, or send Registration form and a

check made out to Charlotte Central Stake, mail it to:

JoAnne Eskelsen

4499 Gold Hill Rd.

Concord, NC 29025