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| Please enter your first name. | First: | |
| Last: | ||
| Phone: | ||
| Email: | (for confirmation) | |
| City your church | ||
| is located in: |
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Please make checks payable to North Dakota LLL Please Send your registration money to: Dallas Rosin c/o Concordia Lutheran Church 502 1st Ave. N Jamestown, ND 58401 |