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Online NERF Web Registration Form

Registration is required for all adults, teenagers and children attending NERF. The cost is $60.00 (adult - 18 and older), $40.00 (teenager), free (children - 0 to 12). Total payment must be postmarked by January 16, 2020. After January 16, 2020 registration costs increases to $75.00 ages 13 years and older. Please fill in the form below. Upon completion of the form, please click the submit button. Print your email confirmation then send with your monies to NERF Secretary/Treasurer, Dr. Danette L. James, P.O. Box 24393, Philadelphia, PA 19120. Make checks payable to: Northeast Regional Fellowship or you can pay using CASHAPP. CASHAPP us at $nerfellowship

Church Name*

Pastor Name*

First Name*

Last Name*

Street Address*



Zip Code*

Spouse First Name

Names of Children (must list all children 17 years and younger)







Email Address*

Payment Method*

How many adults*

How many teenagers*

Please enter the phrase as it is shown in the box above.  
Tuesday, May 18, 2021
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