How To Pray For The Sick & See Them Recover

 

REGISTRATION FORM

 

Please check the session you are registering for:
 How To Pray For The Sick And See Them Recover

 

Do Not Make Any Travel Bookings Until Minimum # of Participants is Confirmed For The Session You Are Registering For

All Information is Required

Name*

Street Address*

Address (cont.)

City*

State*

Zip*

Work Phone

Home Phone*

E-mail*

The name and address of your church: 

Are you a member? Yes No

Your pastor's name:

Denominational affiliation:

You do not have to be a member of a church to attend a seminar.

These questions are for statistical purposes only.

*

Statement of Faith:
 Do you agree with this statement?

"It is my personal confession that Jesus Christ came in the flesh and that Jesus is Lord."
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X _____________________________________

Sign here to acknowledge your answer to the above question.

 

Registrations will not be confirmed until paid in full.

Seating is limited to 20 participants. Minimum of 10 participants. No on site registration.

$249 per person

Total Enclosed (check or money order):

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Print a two copies of this completed registration and

mail one signed copy with your payment to:

Heart Communications
P.O. Box 232251, Centreville, Virginia 20120  USA