Pastors Luncheon Form - Smalley Relationship Center

with Dr. Gary Smalley

Discover How You Are Designed for Satisfying Relationships

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Pastors Luncheon Form

If you would like to come to the luncheon, please fill out the following:

Fields with an asterisk are required!
Please fill out all sections.

Full Name*
E-mail Address*
Phone
City
State
Zip
Church Name
Pastor's Name
Church Address

Church City
Church State
Church Zip
Church Phone
Luncheon City*
How did you hear about the luncheon?*	Post Card A Pastor Letter A Real Call Invitation Card A phone call from a SRC Rep Your Church
How many will be attending?*

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I Promise
by Dr. Gary Smalley
After 10 years of research this book will help you to develop a marriage where you both have the freedom to be open & secure without fear of being criticized, blamed or judged by each other. A safe place where your relationship grows deeper naturally.

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