CONFERENCE REGISTRATION
We are pleased to know that you have joined us for an event of celebration, fellowship and rejuvenation for God's glory to work in your lives.
ONLINE REGISTRATION & PROCESSING
Registration Information
Select the appropriate information below. All registrants are required to select from one of the available sections below in order to successfully attend.
Please note: If you require more than 4 from any one category, please contact our office so that we can be sure to include all persons attending our 2008 Fresh Winds Leadership Summit Conference.
Adult- $30.00
Clear
ONE Adult
TWO Adults
THREE Adults
FOUR Adults audio changes
Teens - $20.00
Clear Teen TWO Teens THREE Teens
FOUR Teens
*denotes required fields
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip Code:
*Telephone:
*E-mail Address:
Total Amount Due:
*Name As It Appears On Card:
*Credit Card Type:
-Select Type- Visa Master Card Discover American Express
*Credit Card Number:
no dashes
State:
*Expiration Date:
(e.g. mmyy (0108))
*CVV2:
(Visa Transactions Only - 3 digit Code)
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