Kingdom of God Convention Registration
Register here to attend the Kingdom of God International Convention in 2009.
First Name:
*
Last Name:
*
E-mail:
*
Phone:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Country
*
Religious Affiliation:
*
Church Home:
*
How did you hear about the convention?
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Search Engine
television
radio
flyer
newspaper ad
church or ministry
email blast
other expo or convention
friend
other
Referral Name (Channel or Station Name, Name of Organization or Person):
*
Do you lead a church, ministry or own a business? If so, please explain below:
*
Yes
No
Additional Comments: