One Light Registration One Light Self Defense Registration To register for a One-Light self defense seminar, please fill out the below information and we will reserve your spot(s) at the event.Location*March 1, 2014 | Kroehler Family YMCANumber of Attendees*12345678910We suggest a $5 minimum donation for each attendee, which will go towards WAR Int'ls Domestic Safe House fund.Donation* I WOULD like to make my donation online now I WOULD NOT like to make a donation at this time Name - Registrant* First Last Name - Registrant Two* First Last Name - Registrant Three* First Last Name - Registrant Four* First Last Name - Registrant Five* First Last Name - Registrant Six* First Last Name - Registrant Seven* First Last Name - Registrant Eight* First Last Name - Registrant Nine* First Last Name - Registrant Ten* First Last Age Verification* I verify that the registrant(s) are at least 11 years of age or older. The WAR Int'l US Training Center is a curative program currently being developed at the WAR headquarters in Wyoming MI, that provides vocational training and a safe employment for domestic survivors and at-risk women. Their handmade treasures are available to buy in store and online, but this only supports the program so far. We need your help to turn it into a more effective tool to restore power and dignity to our broken sisters within the US. We suggest a minimum donation of $5 per registrant. Thank you!Donation Amount* Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please review the below information, and if everything looks right, click on the submit button to secure your registration. If you made a donation, and wish to print a receipt for tax purposes, please remember to check the Email Confirmation check box below, and a receipt will arrive in your inbox. {all_fields}Email Confirmation Email me a Confirmation Email Address* Thank you again for your interest in One Light! We look forward to seeing you at the seminar!-Women At Risk, Int'lBack to Home Page Δ