Heart of Texas Area Aglow International

Registration Information - Step one of two

Name

Address

City/State, Zip

Email

Phone

Phone Type

Home
Cell
Work

Text?

Yes
No

Please Check Appropriate Option

Lighthouse (City)

Please Check Payment Method

Online
Mailing Check

Is there anything else we need to know?

Make check or money order payable to: Heart of Texas Area Aglow

Mail check to: Debbie Fasano
3215 Ethel Ave.
Waco, TX 76707

or Pay Online with credit card or PayPal account!

No PayPal account or PayPal registration required!

For questions call or email Debbie Fasano
Email: hotareateam@outlook.com

(Cell/Text): (254) 733-6161

Registrations are Transferable, Not refundable.