HOME ONLINE STORE BOOKING FORM ABOUT DR. NELSON CONTACT

 
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REGISTRATION FORM

Please fill out the Registration form ONLY for classes that do not require a payment.  If you are making a payment that also requires a registration, after making your Paypal payment you will be returned to his site and the Paid Registration form which you are requested to fill out.  When you click the submit button the form will be forwarded to us to complete the paid  registration.

 REMINDER:  This registration form is only for classes and/or events for which a payment is not required.  Fill out the information below click here for a form you can save to fill out later and email, fax or mail to us.

REGISTRATION FORM IN PDF FILE


CONTACT INFORMATION:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

CLASS/EVENT YOU WOULD LIKE TO ATTEND:


DATE OF EVENT:   -- mm/dd/yy

NUMBER OF PEOPLE ATTENDING:

If More Than One Person is Attending, Please List Names:


ARE YOU A VISIONS PARTNER?

Yes
No

If Yes, Enter Partner Number:

 

 

 

 

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STREAMING FAITH.COM

 KINGDOM CLARITY with Dr. Sandra V. Nelson


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P.O. Box 847 - Pomona, California 91769
Office:  (909) 629-5788    Fax:  (512) 597-2617
email: contact@sandravministries.org