Breaking the Glass Ceilings Registration Form

Phyllis Glascoe Ministries presents
“Breaking the Glass
Ceilings”
Women’s Conference
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Friday, June 24, 2016 7:30pm
Saturday, June 25, 2016 8am to 2pm
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Conference Location
Harborside Hotel
6400 Oxon Hill Road, Oxon Hill, MD 20745
Hotel accommodations are available. To reserve your
room, please contact the hotel directly at (301) 749-9400
and mention “Phyllis Glascoe Ministries” to obtain the
group discounted rate. Rooms must be booked by
Tuesday, May 24, 2016.
REGISTRATION FORM
Name
Registration: $100
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(Registration includes Continental
Breakfast, Lunch, and materials)
Deposit $50
Church / Organization
(Non-Refundable)
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Email
__________________________________________________
Telephone
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# of Registrants
__________
To register, complete the form and
send it with a check payable to
Phyllis Glascoe Ministries.
All payments due by
Sunday, May 1, 2016
Mail payments to:
Payment Enclosed
Payment Amount
Shachah World Ministries
P.O. Box 255, Oxon Hill, MD 20750
r Yes
$ _____________
ATTN: Elder D. Nicole Tiggle
or Elder Katonia Jackson
r No
Need Special Accommodations (Please Explain)
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For more information, call
(301) 686-0414 or email
[email protected]