Institute for Pastoral Excellence and Renewal

REGISTRATION FORM

Developing Consistent Discipleship - March 7-8, 2008

Name:
Address:
City: State: Zip: Cell Phone:
Home Phone: Work Phone:
Home Church: Position:
Church Address:
Payment (circle one):  Payment Enclosed       Pay at Door Spanish Translation Needed:    YES         NO
To register:  Mail completed form to FBCHC, 17018 Darrington Road, Horizon City, TX 79928.  (NOTE: On site registration also available)