Registration – Grief Recovery Seminar

February 1, 2014

The Reserve

7725 U.S. Hwy 259 North

Longview, Texas 75605


Use the Chicken Expressoption below if you would like to purchase the Chicken Express meal

that will be offered during lunchtime at the free seminar

Free Seminar and Paid Chicken Express Lunch Order

Use the section below to reserve your seats at the free seminar in Longview,

    Your Name (required)

    Your Email (required)

    How many seats to reserve (required)

    Names of Attendees (required)


    Did You Order a Chicken Express lunch? (required)

    If yes, how many?


    The Reserve in Longview, Texas —- Hope – Help – Healing Grief Recovery Seminar

    Are there any special seating or accomodations needed for you?

    Enter the Code Above into the Box Below and Click on Send

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