Please complete this Curse Breakers Conference Pre- Registration form . 

When complete, click the submit button to process your information.

First Name:   Last Name:

Title 

Address      

City               State     Zip Code 

Dates            

Church or Organization Name

E-mail Address

 Phone Number

$10.00   Effective Church Growth and Evangelisum Class  Day

$10.00    Both-Pastors & Church Leadershp Developement Course and

                                501 (c)(3) Application Preparation Class

 

$500.00  501 (c)(3) - We'll Prepare Your Complete Application For You 

$15.00 per Hour  $30.00 Two Hour Sessions 

Method of payment                Visa     

                                 Master Card 

                                 Master Card 

Make checks and money order s payable to: