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REGISTRATION FORM

(1) Please complete the online form below.


Please indicate the purpose of your registration,

i.e. 20th Pastoral and Church Anniversary, VBS, etc.......


If you have questions, please contact us at

ccc_clst@yahoo.com or (919)412-6278.

Last Name*

First Name

Church

Email

Phone

Address

City

State

Zip Code

I am registering for the:

Additional Comments or Information:

(If there is a registration fee, your registration is not considered

complete until payment is received.)


(2) After successfully submitting your registration, you may submit payment by mailing a check/money order to:


Community Christian Center

P O Box 142

Wendell, NC 27591


or submit payment via PayPal/credit card by clicking on the

DONATE button below:

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