Healing School Group Registration
Input the Group Leader's contact information below:
First Name:
*
Last Name:
*
eMail:
*
Would you like to receive eMails about upcoming events at The Mission?
*
Yes
No
How did you hear about this event?
Local Church (please specify on next line)
Website (please specify on next line)
Facebook (please specify on next line)
Elijah List
Postcard
....
Phone:
Address:
*
City:
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Zip code:
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US Virgin Islands
Wallis and Futuna
Western Sahara
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Zimbabwe
Home Church:
To pay, choose one of the following selections:
*
Healing School Group of 5 ($
375
)
Healing School Group of 6 ($
450
)
Healing School Group of 7 ($
525
)
Healing School Group of 8 ($
600
)
Healing School Group of 9 ($
675
)
Healing School Group of 10 ($
750
)
Total : $
0
Group of 5 (Click Here)
Input the contact information below for each group member (not including yourself):
First and Last Name:
*
eMail:
*
Would you like to receive eMails about upcoming events at The Mission?
Yes
No
First and Last Name:
*
eMail:
*
Would you like to receive eMails about upcoming events at The Mission?
Yes
No
First and Last Name:
*
eMail:
*
Would you like to receive eMails about upcoming events at The Mission?
Yes
No
First and Last Name:
*
eMail:
*
Would you like to receive eMails about upcoming events at The Mission?
Yes
No
Group of 6-10 (Click Here)
First and Last Name:
eMail:
Would you like to receive eMails about upcoming events at The Mission?
Yes
No
First and Last Name:
eMail:
Would you like to receive eMails about upcoming events at The Mission?
Yes
No
First and Last Name:
eMail:
Would you like to receive eMails about upcoming events at The Mission?
Yes
No
First and Last Name:
eMail:
Would you like to receive eMails about upcoming events at The Mission?
Yes
No
First and Last Name:
eMail:
Would you like to receive eMails about upcoming events at The Mission?
Yes
No