Messages
Ministry Areas
Event Registrations
Books
Home My Account View Cart Contact Search

DFL-2012 Advance Adult Registration - click here

DFL-2012 Advance Adult Registration - click here


Product #: DFLAdvance

Price: $79.00
Quantity: 
First Name
Last Name
Address
Address Line 2 (if needed)
City
State
Zip
Country
Home Phone
Cell Phone
Email
Re-enter Email
Birth Date (MM/DD/YYYY)
Emergency contact during conference
Name
Emergency contact during conference
Phone
Do you attend a church? (check, if yes)
Your Church Name
Are you involved at church?(check if yes)

Check all options that describe your involvement.
Pastor/Pastor’s Wife
Women’s Ministry Director
Church Staff
Position
Please check to indicate that you agree to the terms&conditions*
 Please Note:  This online form is for adult registrations only.  Registrations for groups of 10 or more cannot be completed online.  Please download and complete a paper registration form and return it to our office to register (email – christina.thompson@jamesriver.org, fax – 417-582-0167, mail – James River Assembly – Designed for Life, 6100 N 19th St, Ozark, MO  65721) 


Designed For Life Women's Conference
 back | next