ministries.htm equipping.htm



 

Matthew 7:24


"Therefore everyone who hears these words of mine and puts them into practice is like a wise man who built his house on the rock." (NIV)

  

         Today is Tuesday February 7, 2012

Event Registration Form

Note: Boxes marked with a red * are required to complete this registration form. Please enter all information as accurately as possible. Inaccurate information can delay or cancel your registration.


IMPORTANT! Each person planning on attending an event must register individually even if someone else is paying for the event. This applies to children as well. This is needed to create an enrollment list for each event.

Event:*  

Personal Information

First Name:*

Last Name:* 

Address 1:*  

Address 2:    

City:*           

State:*          


Zip Code:*      

Enter the phone number without any characters dividing the area code, prefix, or extension. Example: 3036701319

Home Phone:*          Cell Number:   

Email Address:*  

Gender:* Male Female         Age:*


IMPORTANT! The box below is not intended to list the others you want to enroll in an event. If you place your other enrollies in this box, they will not be enrolled as you intended. You must enroll each person separately for events offered at AMC if you want to register online. Thank you.

In the box below please let us know if you have any special needs during the event like wheel chair access, lodging, or child care, etc:


Payment Information

Please select an option in the "Number Attending You Are Paying For" drop-down selection list even if you are not paying. You will not be asked to pay at this time. If someone else is paying for you, select "None".


Number Attending You Are Paying For:*  

Check if you would like AMC to consider discounts and scholarships for this event.

Payment Method:*  




Registration Links