Prophetic Activation School Registration

Prophetic Activation School 13, 14, 20 & 21 July 2012
Course Fee $130.00 - Registrations Close 4 July 2012
This event requires a $50 non refundable deposit at time of registration to secure your place.

Payment options will be given after this form is submitted.
Options include Paypal (Credit Card or Account), Cheque or Direct Deposit.

Attendee Information (*Denotes Required Field)
Title: *
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Given Name: *
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Surname: *
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Address: *
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Postcode: *
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Contact Phone No: *
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Your Church Name: *
Please supply us the name of the church you attend.
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A $50 non refundable deposit at time of registration is required to secure your place. Balance is payable by 4th July 2012
DISCLAMER: Prices are per person unless otherwise stated. Please note that all bookings are subject to availability at time of receipt. Life House Conference recommends that you confirm your registration with our office prior to booking any flights/accommodation to attend conference. The Life House Conference does not accept any responsibility for any losses incurred, including but not limited to, flights and/or accommodation booked for the conference.


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