World Mandate Registration

World Mandate Registration
Date

January 27-28, 2017

Time

Friday, January 27 at 7:30 p.m.

Saturday, January 28 at 10:00 a.m, 3 p.m., and 7:30 p.m.

Address

Wayne State University

5045 Anthony Wayne
Detroit, MI 48202
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Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you hear about World Mandate? *

Attended beforeAnnouncement at churchFriendAntioch WebsiteFacebookOther
Where do you attend church?*

Antioch Ann ArborLocal church in Ann ArborLocal church in DetroitOther
Which best describes your age?*

Under 1818-2223-2930-3940-4950+
Payment *

Paypal (click link below)Cash or Check at World Mandate

My Products

World Mandate Registration$50.00

Enter coupon

Total $0.00

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