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Don’t miss it! The Family Challenge starts Dec 2 — Join the Waitlist Today!

Conference Kit Request Form

Instructor Information

First name*

Last name*

Email*

Phone*

Event Details

Conference/Event Name:*

Event Start Date:*

Month

Day

Year

Event End Date*

Month

Day

Year

Event Location (City/State)*

Estimated Number of Attendees: (If known)

Shipping Information

Shipping Address (Where should we mail the kit? We can mail it to your house, hotel, etc.)

Country/Region*

Address*

Address - line 2*

City*

Zip / Postal code*

Preferred Delivery Date:*

Month

Day

Year

Additional Notes: (Optional)

By submitting this form, I acknowledge that I am responsible for returning the kit contents after the event (return shipping label will be included in kit) and will notify YFFR of any lost or damaged items.

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10301 Comanche Road Northeast suite 5, Albuquerque, NM, 87111, USA

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