EmailMe Form - AZ District Empowerment

Thank you for registering for the 2017 Arizona District Empowerment Conference. Please complete the information below. If you are traveling from out of town and require hotel accommodations, please contact the Fairfield Inn & Suites Tucson North/Oro Valley, [(520) 202-4000] and reference the block of rooms for Demetrius Miles ($89/night rate).
Full Name *
Name of Church/Ministry *
Email *
Phone *
### - ### - ####
Number of people attending the Conference with you.
(Including You) *
Please list the names of the people attending the Empowerment Conference with you.
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