Workshop Registration Form
Please fill this form out and fax or mail to us
Registration fee: $750 per person
To reserve your space, a non-refundable deposit of $100 per person is
required with this registration form.
WORKSHOP DATES:
YOUR NAME:
ADDRESS:
PHONE:
EMERGENCY CONTACT:
(Name and Phone Number)
HOW DID YOU HEAR ABOUT THE WORKSHOP:
EMAIL:
PAYMENT:
VISA / MASTERCARD
AMOUNT:
Credit Card Number:
Expiration Date:
(MMYY)
Verification Code: (three digits on the
back of card)
Signature:
Faithful and True Ministries
15798 Venture Lane, Eden Prairie, MN 55344
Phone: 952-746-3885
Fax: 952-949-6118