SUMMIT_REGISTRATION

AGAPE TIME MINISTRIES INC.

PRODUCING & PROMOTING HEALTHY LEADERS THROUGH MENTORSHIP & FELLOWSHIP

REGISTRATION FORM

AUGUST 26TH - 29th 2009

		Name:      
		Title:     
		
		Church:    
		Email:     
		
		Address:   
		City:      
		State:     
		Country:   
		Zip Code:  
		
		Phone      
		
		SUMMIT REGISTRATION - $ 20.00


		       TOTAL AMOUNT
		
		SUMMIT SATURDAY BRUNCH  (Included in Registration)


		       TOTAL AMOUNT
		
		 All online Registrations are non-refundable:
		
		
		
		
		
		
		
		
		COMMENTS: