Afternoon Reflection (April 7, 2019) Posted on June 8, 2018September 28, 2018 by Violet Mercado Afternoon Reflection Registration Sunday, April 7, 2019 (2PM – 7PM) Required information marked with *Your TitleMr.Mrs.Ms.Fr.Sr.Dr.Br.Dcn.Name* First Last Suffix:Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone:*Phone Type*HomeMobileBusinessEmail:*For your convenience, please make your $30 payment below to secure your reservation.YESNOPayment DetailsPayment Method:*Credit CardeCheckCredit Card American ExpressDiscoverMasterCardVisaJCBMaestro Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name eCheck Name on Account Bank Name Routing Number Account Number CheckingSavingsAccount Type Non-transferable and Non-refundable Deposit*$30.00
