Single Place provides emotional healing for divorced, separated, in the process of divorce, single or widowed people.
Registration Form
 

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Please fill out and print the form below and send it to the church for registration.

Please check box(es) for all workshops and/or social activities
in which you wish to participate. Mail form and check(s), payable
to First Presbyterian Church 200 E. Main St., Northville, MI 48167

Workshops:

Divorce Recovery Workshop (April 8 - May 20, 2010)

Social Activities:
Other Activity (please specify)
Other Activity (please specify)

Name

Address

City/State/Zip

Home Phone w/area code

Work Phone w/area code

Dates for event

Choice of entree (if applicable)

Choice of roommate (if applicable)

Comments:

Please send your newsletter monthly: Yes or No

Cost (if applicable)  $ 

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Last Updated:  03/03/10

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