North American Ongoing Certification Training - Nov. 2-4, 2016 (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:

Resource Workshops

Wednesday Afternoon - Nov. 2: *

Course option:

I will bring my own course.

Materials fee of $75 applies for all Leadership Series workshops. Waived if you already own and bring your course binder.

Thursday Morning - Nov. 3: *

Course option:

I will bring my own course.

Materials fee of $75 applies for all Leadership Series workshops. Waived if you already own and bring your course binder.

Thursday Afternoon - Nov. 3: *

Course option:

I will bring my own course.

Materials fee of $75 applies for all Leadership Series workshops. Waived if you already own and bring your course binder.

Executive Leadership Summit

Friday Nov. 4: *

Entree:

Payment

Payment for Ongoing Certification materials will be taken at the registration table upon your arrival.

North American Registration Center