Please go back and fill in the entire form.
This is a form submission for the EIM Conference via the web.
A new application is being submitted by: #form.title# #form.Name#
There Contact information is as follows:
Address: #form.address#
City: #form.city#
State: #form.state#
ZipCode: #form.zipcode#
Their country location is: #form.country#
Contact phone number: #form.phone#
Email Address: #form.emailaddress#
Their Church Affiliation: #form.churchaffiliation#
#form.name# will be attending the following sessions:
#form.attendsession#
The following children will be attending also:
#form.Child1# #form.Child1Age#
#form.Child2# #form.Child2Age#
#form.Child3# #form.Child3Age#
Membership Status:
#form.AlreadyAMember#
Thank you
#form.name#!
Thank your for your registering for the EIM Conference,
September 25-26, 2008. You will recieve a confirmation email.
If you would like to purchase your ticket for the Pastors Luncheon w/ Drs. James and Stacia Pierce please
Click Here
EIM
Conference September 24-25, 2009
Registration Form Please complete the form below to register for this FREE conference. Click here for group registration.
