2018 Prayer Conference Registration

Please complete the form below and press SUBMIT to register for the conference. If you wish to also purchase Limited Edition Conference T-Shirt(s), you will find them under the "Shop" tab or in the right-hand sidebar of this page..

Name *
Name
Address *
Address
Cell Phone *
Cell Phone
What is your home church?
Organization Affiliation *
Are you a member of these organizations?
Photo Release *
I give my permission for the conference photographer to include me in both candid images and the group photo taken at the conclusion of the conference.
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