"JUST COMMUNITY" Bartimaeus Kinsler Institute 2023: Registration Form

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Please fill in all required fields. If you have any difficulties please contact Chris at inquiries@bcm-net.org. Alternatively you can download the registration form PDF or MSWord and mail it in. See BKI website for details.

BKI2023: "Just Community"

Please fill in this form and make payment either online via Credit Card/PayPal or send a check in $US only payable to BCM. Payment details are at the last question on this form or on the BKI website.
Please fill in a SEPARATE FORM for all people you are registering (including children)

First Name: *

Last Name: *

Email Address *

Preferred Phone no. *

Mailing Address (Street name and No.) *

Please include unit or apartment no.

City *

State *

Zip / Post Code *

Country *

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