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Lifeword Sunday 2024 Registration
Team Lifeword Leader Name:
*
First Name
Last Name
Team Lifeword Leader T-shirt Size:
*
Please Select
Small
Medium
Large
X-Large
2X-Large
3X-Large
Team Lifeword Leader E-mail Address:
*
example@example.com
Team Lifeword Leader Mobile Phone Number
*
Church Name:
*
Church City:
*
Church State:
*
Your Pastor's Information:
*
Yes, also send my pastor a t-shirt
I am the pastor, my information is entered above
We are without a pastor at this time
Pastor's Name:
*
First Name
Last Name
Pastor's T-shirt Size:
*
Please Select
Small
Medium
Large
X-Large
2X-Large
3x-Large
Pastor's Mobile Phone Number
Shipping Address:
*
Address
Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Is this a Home or Business Address?
*
Home
Business
How many bulletin inserts do you need?
Submit My Registration
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