LEADER LABS.
Individuals registering for themselves can skip the group registration section. Groups that are registering together may skip the individual registration section.
Individual Registration
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Home church.
Group Registration
Name of contact
First Name
Last Name
Phone Number of contact
Please enter a valid phone number.
Email of contact
example@example.com
Home Church
Address of Church
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of people being registered
$50 per person
Payment options
Please choose from the list below.
How will registration be paid?
Please Select
Online with debit/credit card
By check in the mail
Registration checks must be received at the state office before April 12th. They can be mailed to: ATTN: Leader Labs. 1100 Jorie Blvd.. Suite 153. Oak Brook, IL 60523.
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