LifeLight Missions :: 2010 CFN

2010 Call For The Nations Registration

JUNE 25-27
NEW HAVEN MINISTRIES BUILDING
SIOUX FALLS, SD

YOUR CONTACT INFO:

First Name:

Last Name:

Address:

Zip Code:

City:

State:

Home Phone: (xxx-xxx-xxxx)

Mobile Phone: (xxx-xxx-xxxx)

Date of Birth: (YYYY-MM-DD)

Email Address:

EVENT-RELATED INFO:

How Did You Hear About Us?

This event is made possible by the donations of those attending. We are asking for $45 donation or more per person to attend this retreat to help cover our costs.

Total Number Attending

Donation: (suggested $ 45 or more per person) enter donation amount only, no "$"

OTHER INFO:

Marital Status

Spouse Name:

Name of Child - 1

Name of Child - 2

Name of Child - 3

Name of Child - 4

Name of Child - 5

Name of Child - 6

Church Attending:

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