Ministry Street Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Name *

First Name

Last Name

Phone *

(###)

###

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If you are not the Senior Leader, are you authorized to register your ministry? *

Please only register your Church/Ministry if you are the Senior Leader or an authorized Representative.

Yes

No

Ministry Postal Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please include our church on the list of participants *

Click the box to have your Church/Ministry displayed on this website as a participating Church.

YES

No