Leadership Cohort Sign Up

Name(Required)

First Last

Email(Required)

Phone(Required)

Birth Date(Required)

How long have you been serving in ministry?

Church/Organization(Required)

Church/Organization Address(Required)

Street Address Address Line 2 City State ZIP Code

How would you like to pay?(Required)

1 Payment - $1,600

4 Payments (Quarterly) - $400 x 4

Do you want to pay online or have an invoice sent?(Required)

Pay Online

Please send an invoice.

Total

Billing Address

Street Address Address Line 2 City State ZIP Code

Credit Card

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