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I / we want to register....

If you are registering for a Training Session, or some kind of educational session, enter
 the date & place of the Training or Event.

 Date:  Place:

                                     * = required information.

First Name *     How will we use this personal information??
Last Name *    
E-mail *  
  • We are likely to contact you only by email because
    other mail is too costly....so if you email changes let us know.
Address *  
  • We will thank you for registering.
City *  
  • We will include you in our international data base.
State/Prov*  
  • We will send you a periodic Newsletter (once or twice a year) to share ideas about sponsoring/mentoring.
Zip/PostalCode *  
  • We are designing a questionnaire to help us document the value of sponsor/mentor couples...we will send you a copy.

Country, if not USA   

  • We will never give or sell your personal information to anyone else and or use it to try to sell you something.
Telephone *   If you have no phone, type "no phone"

If married, your wedding date

 

Name of your church

 

Name of your Pastor

 


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Revised: March 01, 2008 .