FLMI Webinar Form

Perfect Men Discipleship Program

Please fill in the form below.
Full Name*

First NameLast Name
Age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
First time to participate in group?*

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Days of Availability (NOTE: Meeting date is not determined by attendee's availability):

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Please Note: We reserve the right to deny participation in the group for ANY reason. If program is full, don't worry! These sessions are ongoing.
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Perfect Men Discipleship Program