The Work Of The Ministry Registration Form

REGISTRATION FORM
THE AUTHORITY OF THE BELIEVERS’ MINISTRIES

“THE WORK OF THE MINISTRY CONFERENCE" 2010

PLEASE CHECK BACK FOR DATE AND LOCATION

CONFERENCE COST PER PERSON:
REGISTRATION $65.00
*PREREGISTRATION $50.00 - DEADLINE June 5th, 2010
(MUST BE POSTMARKED BY TBA, 2010)
*PREREGISTRATION INCLUDES
CONTINENTAL BREAKFAST & LUNCH

SEMINARS/WORKSHOPS
9AM - 3PM

PLEASE TYPE OR PRINT USING BLACK INK

Name: ______________________________________________________

Street Address: __________________________________________

City/State/Zip: ______________________________________________________

    Male ( )   Female ( ); Home Phone: _______________; Cell/Other: __________

Email: _______________________________________

*Age Group: 15 – 25 ( ); 26 – 39 ( ); 40 – 59 ( ); 60+ ( )
(Ages 17 and under must have parental consent – See bottom of form).

         Area(s) of Ministry: Apostle ( ); Prophet ( ); Evangelist ( ); Pastor ( );
Teacher ( )                                Minister ( ); Altar Ministry Worker ( ); Missionary ( ); Armor Bearer ( );
Health Care Professional ( )

Payment Method: Check ( ); Money Order ( ); Cash ( ); Amount to be Mailed: $___________

MAKE CHECKS/MONEY ORDERS PAYABLE TO: AUTHORITY
MAIL PAYMENT ALONG WITH REGISTRATION FORM(S) TO:
THE AUTHORITY OF THE BELIEVERS’ MINISTRIES
P. O. BOX 3063, UNIVERSAL CITY, TX, 78148-3705
OFFICE: 210-365-3173; authority@theauthorityofthebelieversministries.org

Parental/Guardian Consent:

I, ___________________________________________________________________________________________
authorize my son/daughter _____________________________________________________, age _______;
to attend and participate in The Authority Of The Believers’ Ministries, Inc., “The Work Of The Ministry
Conference 2007”.   By signing this form I relinquish The Authority Of The Believers’ Ministries, Inc, and its
Conferences, affiliate, staff and seminarians from any and all liabilities.

Registrant’s Signature ___________________________________________________________; Date: ________

Parent/Guardian Signature: ______________________________________________________; Date: ________