Class Registration Form -

-

Note: For this registration to be completed, your registration fee must be paid. Registration fee will be $160 (Credit/Debit Card)
Name*

First NameEvangelist Class Registration Form
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Gender*
Select One
Church Name*
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Department or Ministry where You Serve?*
What Office do you work with or serve in Church
Position in Church Department
Your DCC/Zone*
Your Superintendent
CREDIT CARD REGISTRATION PAYMENT FEE is $160
Should be Empty: