Releasing Untapped Wells Prophetic Gathering

Registration Form

April 25, 2008 - 7 pm Prophetic Worship ( Friday)
April 26, 2008 - 8 am Teaching (Saturday afternoon & evening free)                                    

April 27, 2008 - 11 am Prophetic Worship (Sunday afternoon departure)

Shared Hotel Accommodations and Water Park Admission

Included with Registration Fee
Space is limited • Register early to guarantee your seat!

 Guaranteed seating for registered attendees only.

*Special consideration may be afforded to families of 5 or more. Please speak with gathering staff.

Adult Attendees:

Please enter the first and last name of all adult attendees for whom you are making payment.

Children Attendees:

Please enter the first and last name of all children under 17 attending.

Roommate                

Preference:             Please enter the first and last name of all adult attendees who have agreed to share your room.

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State: *

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Zip Code: *

Country: *

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Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Pre-registration deadline: March 31, 2008
On-site registration available, space permitting.

Your Payment Information:

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