Primary Event Contact (first and last name)

Contact Email

Contact Phone

Church Name

Church Size (estimated weekly attendance)

Projected Attendance (for November 5 simulcast)

Mailing Address

City

State

ZIP Code

Send invoice by Send invoice by Mail E-mail

Send the invoice based on the information provided above? Send the invoice based on the information provided above? Yes, use main contact and address provided No, use other contact and address information

Invoice Contact (first and last name)

Invoice Contact Email

Billing Address

City

State

ZIP Code

Notes

As part of your registration, your information may be shared with our missions partners in order to provide you with more information on how you can be involved in opportunities to serve women around the world. As part of your registration, your information may be shared with our missions partners in order to provide you with more information on how you can be involved in opportunities to serve women around the world. I understand and accept the above terms.