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Charitable Outreach Section

2012 Kean Quest Talent Search Registration Form

Name
Address
City
State
Zip
Phone
Email
Age
Gender Male   Female
Participating Category: vocal
adult vocal (age 19 and up)
A non-refundable registration fee of $25 (per act) is requested.

Amount

Type of Payment
Account Number
Expiration Date
V-Code (3-digit on back)
Name as it appears on card

How did you hear about Kean Quest Talent Search and why did you decide to participate?





Checks can be mailed with completed form.

Please make check payable to St. Barnabas Charities and send to the address below




Mail to:
St. Barnabas Charities
Kean Quest Talent Search
5850 Meridian Road
Gibsonia, PA 15044

 

 

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