Wufoo

Abundant Life Annual Prophetic Conference

September 24 - 28, 2008

Register fee is:
$50.00 per individual or $80.00 per couple

Date of Application / MM / DD YYYY
Registrant's Name * Title First Last Suffix
Registrant's Spouse if Applicable: * Title First Last Suffix
Mailing Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Contact Phone Number * - (###) - ### ####
Please List name and age of each child attending:
Name of person who would like to be considered for Prophetic Ministry by a Prophetic Team Title First Last Suffix
Name of additional person who would like to be considered for Prophetic Ministry by a Prophetic Team Title First Last Suffix
Please state name if interested in Healing Ministry. Briefly describe the need:
How are you making payment for your registration? *
I am mailing a check or money order to Abundant LIfe I will phone to make payment (1-888-733-8155)
Price $ .Dollars Cents
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