Compass Women Registration Form
This is the registration form for Compass Women. If you have any questions please contact women@thisiscompass.com
Your Name
*
Email
*
This address will receive a confirmation email
Address
*
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MH
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QC
RI
SC
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TN
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VA
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VT
WA
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WY
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Phone
*
Which study will you be attending?
*
Please select one option.
Monday Evening - Orangeville
Thursday Morning - Orangeville Site
Thursday Morning - Shelburne
Thursday Evening - Shelburne
Are you new to Compass Women?
*
Please select one option.
Yes
No
How many children do you plan to register for Compass Women cooperation childcare? (Only available at the Thursday morning study in Orangeville)
*
Please select one option.
None
1
2
3
4
Do you regularly attend Compass Community Church?
*
Please select one option.
Yes, usually in Shelburne
Yes, usually in Orangeville
No
How did you hear about Compass Women?
*
Would you like to purchase a book for the study?
No, I would not like a book (0)
Yes, but I will pay the $20 in person (0)
Yes, and I'd like to purchase it online ($20.00)
No, I would not like a book (0)
Yes, but I will pay the $20 in person (0)
Yes, and I'd like to purchase it online ($20.00)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
This is the registration form for Compass Women. If you have any questions please contact women@thisiscompass.com
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