Group Registration
Group Name
Contact Name
First Name
Last Name
Contact Email
example@example.com
Contact Phone Number
-
Area Code
Phone Number
Please check off the options that apply
I/we would like to inquire about agreeing to a yearly Priority Contract for unlimited access to all Certain Place Ministries program offerings
I/we would like to inquire about scheduling a one time Desert Experience retreat
I/we would like to inquire about scheduling a one time Soul Men's retreat
I/we would like to inquire about scheduling a one time Guatemala Help Week
I/we would like to inquire about scheduling a one time Appalachia Help Week
What date(s) are you requesting?
Submit
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