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Banff Men's Conference - October 12 - 14, 2012 |
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| Name of the Applicant: | |
| Address: | |
| Phone Number: | |
| email: | |
| Year of Banff Men's Conference in which the applicant plans to attend: | |
| Home Church: | |
| Reasons for Application: | |
| Person(s) Recommending the Applicant: | |
| Comments from above Person (including information on how you may be reached for further questions): | |
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