May 1-3 (Ames, IA - Hosted by: Ames-Des Moines CityChurch, 2400 Oakwood Rd., Ames, IA) | Initial Certification Registration

May 1-3 (Ames, IA - Hosted by: Ames-Des Moines CityChurch, 2400 Oakwood Rd., Ames, IA)

Name: *

Church Name: *

Church Mailing Address:

Street: *

City: *

State: *

Zip: *

Church Shipping Address: (if different from mailing)

Street:

City:

State:

Zip:

Ministry Role: *

Office Phone: *

Ext. #:

E-mail: *

Mobile Phone: *

Your Mailing Address (if different from church):

Residential

Business

Street:

City:

State:

Zip:

Your Shipping Address (if different from church):

Residential

Business

Street:

City:

State:

Zip:

Registration Fee: $300.00**

**Registrations received less than 14 days prior to the training event may be assigned a $25 late fee.

When you register, you may pay by credit card or your church will be invoiced. Please call in your credit card payment upon registration: 515-292-7012.