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EIM Conference September 25-26, 2008
Registration Form
Please complete the form below to register for this FREE conference.
Click here for group registration.
Name * Title   *
Address * Evening Phone # *  
City * State *
Zip Code * Country *
E-mail Address *      Church Affiliation   *

* You must fill in all answers or this form will not submit.

List each session that you will attend: * All Sessions
Thursday AM Thursday PM

Friday AM Friday-Pastors Luncheon (Senior Pastors & Spouses only)
 Friday PM
Friday Reception (Senior Pastors & Spouses only) *
My child(ren) will attend the childcare for ages 0-9. PM sessions only. *
Child 1. age
Child 2. age
Child 3. age
Child 4. age

Membership:
I am already and EIM network member.

 
Yes, I want to join EIM, please rush me an information packet.
No thanks.
 
 

 


        

 

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Conference
Details

 

 
 
3000 W. Miller Rd., Lansing, MI 48911
517-393-9860 email us: webmaster@lifechangerscc.org