Conference Registration Form
"For the Peace of Jerusalem"
CMEP Middle East Peace Advocacy Conference

May 6-8, 2007 - Washington, DC

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First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State
Zip Code
Work Phone
Home Phone
E-mail

Enter your church/denomination in the space provided below.


Enter your Congressional District in the space provided below.

Please let us know if you have any questions.

PLEASE NOTE: Your registration will not be complete until we

have received your $100.00 registration fee. You can send a check

by mail to the CMEP office or pay through our secure, online credit

card payment system. Return to the 2007 Conference page to pay

your registration online.

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 ~ Churches for Middle East Peace -- 110 Maryland Ave., NE #311 -  Washington, DC - 20002 -- 1-202-543-1222  ~