God is a Brown Girl, Too

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Registration

Registration / Sponsor Options

Registration / Sponsor Options*

Senior Citizen Registration: $350

Regular Registration: $450

Love Angel: $500

(Gets book and journal, marketing at event, brown girl tee shirt/bag)

Grace Angel: $300

(Gets book, marketing at event, brown girl tee shirt/bag)

Karma Angel: $200

(Gets book, marketing at event)

Desire Angel (Other Amount)

(Gets book and journal)

(Angels are those who cannot attend but wish to support the event.)

Payment may also be made by sending checks, made payable to: God is a Brown Girl Too, 376 President Street #2H, Brooklyn, NY 11231.

Refunds (less $50.00 Administration Fee) will be given until November 30, 2010.
After November 30, 2010, only %50 of the amount paid will be given.
After January 1, 2011, only %75 of the amount paid will be given.
No refunds will be given after February 1, 2011.

Personal Information

Name*

Address

City

State (U.S.)

Canadian Province

Zip/Postal Code

Telephone

Email*

Please note that we will be videotaping and photographing the event and your registration will be used to provide your consent for God Is a Brown Girl, Too, LLC® to use your photograph and likeness to be used in its publications, including its website, facebook page, blog and other uses solely for the purpose of discussing or otherwise promoting its retreats, workshops, counseling, and ministry.

How did you hear about us (select one)?

Website

Friend

Facebook

Other

If other, please describe:

Please mail checks to Cecilia Loving, payable to "God is a Brown Girl Too, LLC", at 376 President Street, Suite 2H, Brooklyn, New York 11231. You can also call Cecilia with questions at 917-414-9601. We will discount groups with a special rate.