Register On-Line. . . .Today!

Mail-In Registration

• You may make copies of this form to share with others.

• No Childcare available.

Please Print

Name_________________________________________

Address_______________________________________

City/State/ZIP__________________________________

Phone ( __________ )___________________________

E-mail_________________________________________

Church________________________________________

Please Name all Participants Registered with This Form

General Conference Fees

Conference Participants ______ x $25 = __________

Payment Information:

Make checks payable to:

Christie Moore Ministries

Mail Payment and Registration Information To:

Christie Moore Ministries   

676 Shoup Ave. West

Suite #8

Twin Falls, Idaho 83301