MMO Registration Form

Women's

Ministry

115
Church Street

Cumming, GA
30040

Phone

(770)
205-6699

Fax

(770)
205-6622

E-mail

Fall 2013 Mom's Book Club
Registration

Name

Address

Phone

E-mail Address(es)

Please select one of the following:

Yes, I will need to purchase a book

No, I will bring my own book

Important Note

Nursery (birth-age 3) and Childcare (age 3 and up)
available upon request

If you need childcare,
please list the names and ages of your children
in the box below so that we may serve you better

Please Note: You will receive e-mail confirmation
as soon as we receive your registration