Class Registration Form -

Workers Training Class Registration Form 2017

For Workers, Teachers, Deacons, Deaconess, Ushers etc.Note: For this registration to be completed, your registration fee must be paid. Registration fee will be $55 by Credit/Debit Card.
Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number
E-mail *
Gender *
Select One
Church Name *

Church Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Your DCC/Zone *
Your Superintendent
Department or Ministry where You Serve? *
What Office do you work with or serve in Church
Position in Church Department
CREDIT CARD / DEBIT CARD PAYMENT ONLY

Registration fee is $55.00
Should be Empty:

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