One Evangelism Conference 2019
Friday, Oct 11, 2019 7:00 PM - Sunday, Oct 13, 2019 1:00 PM
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
If you are registering as a group or joining a group that is already registered, please type your group name below:
Example: "Revivify Church"
Childcare
Free childcare will be provided for kids ages 0-8 years old. Ages 16 & under do not have to pay a registration fee.
Will you or anyone in your group need childcare?
*
Yes
No
How many kids will be needing childcare?
*
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20+
***We will be contacting the name listed on this form to gather further information for the kid(s) needing childcare.
Conference Ticket
*
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Evangelism Conference Ticket
$
15.00
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$
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Credit Card
First Name
Last Name
Credit Card Number
Security Code
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Expiration Month
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