| Name of Church/Ministry: * |
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| Name of General Overseer: * |
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| Email * |
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| Are you the General Overseer * |
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| If yes Your Name* |
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| Your position in the Church* |
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| Vision of Your Church* |
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| What form of Evangelism do you do? * |
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| Country * |
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| Address 1* |
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| Address 2 |
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| City* |
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| State/regions* |
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| Zip code* |
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| GSM Phone * |
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Acceptable format: 803-123-4567
(do not include the first zero) |
| Phone |
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| Total number of participants coming |
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Minimum of 12 people will show you are an established and existing
Church. This will qualify your Church/Ministry for Missionary and
Evangelism aid. |
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I have read and accept . * |
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