CEO & Leaders Workshop Registration

To register for a CEO & Leaders Workshop, please check appropriate box. Thanks!

	Spring 2010	Location
	February 9-11, 2010 Global 10~Ultimate CEO Event Time: 9AM-5PM Each day HOST: Pastors J.B. & Susan Whitfield Agape Faith Church 2101 Lewisville-Clemmons Road Clemmons, NC 27012	Clemmons, North Carolina
	*February 25 & 26, 2010 (TBC)* HOST: Pastor Mario Moxey Bahamas Harvest Church Prince Charles Drive, Nassau +1-242-354-6265- Dolly Crooks To register-dollys@bahamasharvestchurch.org	Nassau, Bahamas
	March 5 & 6, 2010 HOST: Pastor Michael Kalstrup & Pastor Dan Berry Training Location: Cornerstone Family Church 3114 S.W. 61st Street Des Moines, Iowa 50320	Des Moines, Iowa
	March 15 & 16, 2010 HOST: Pastor John & Ingrid Huizing & Pastor Bill Annis Canada Word of Faith 5833 53rd Avenue Red Deer, Alberta T4N4L4 www.bibletrainincentre.com	Alberta, Canada
	March 26 & 27, 2010 HOST: Pastor Doug Bartsch & Pastor Hank Marion New Haven House of Prayer 6262 Creekside Green Spring, TX 77389	Houston, Texas
	*April 16, 2010 (TBC)** HOST: Pastor Jason Guerrero & Pastor Drew Koen Regency Christian Center 7038 S. Pickering Avenue Whittier, CA 90602	Los Angeles, California
	(Dates To be determined) HOST: Pastor John Grunewald RHEMA Germany Postfach 201163 Bonn, Germany +49-0-228-932-5220 To register-office@rhema-germany.de	Bonn, Germany
	(Dates To be determined) HOST: Pastor Jan Barendse Amsterdam, The Netherlands Gebouw:'Keerpunt' Arent Janszoon Ernststraat 302 1082 LT Amsterdam Call: +020-644-6999 Fax: 020-644-4418 To Register: keerpunt@pinkstergemeente-amsterdam.nl	Amsterdam, Netherlands
	May 14 & 15, 2010 HOST: Reverend Gerri Di Somma Carmel Christian Centre 817 A Bath Rd. Bristol, UK +44-117-977-5533	Bristol, UK
	April 30 & May 1, 2010 HOST: Pastor Kenan & Kathy Vance & Pastors Jonathan & Verna Del Turco Living Word Ministris 225 Meloy Road West Haven, CT 06516	New Haven, Connecticut
	Dates To Be Determined HOST: Pastors Gary & Drenda Keesee Faith Life Church 2407 Beech Road Johnstown, OH 43031	Columbus, OH

REGISTER FOR THE CEO & LEADERS WORKSHOP
You are only eligible to register with a CEO.

If you are a leader, please obtain the confirmation of your CEO's attendance to the training before registering. Thanks!

Please complete information in full:
	* Designates required field
CEO TITLE	CEO FIRST *
CEO LAST*
SPOUSE TITLE (only if attending)	SPOUSE FIRST
SPOUSE LAST
MINISTRY NAME
I am a partner and I'd like to attend the Forum as well as the workshop:
Contact Information:
MAILING ADDRESS*
CITY*
STATE		ZIP
COUNTRY*
OFFICE PHONE*	HOME PHONE
CELL PHONE	FAX PHONE
EMAIL*	WEB SITE
	You may register up to five of your ministry leaders :
Leader 1 TITLE
Leader 1 FIRST
Leader 1 LAST
Leader 2 TITLE
Leader 2 FIRST
Leader 2 LAST
Leader 3 TITLE
Leader 3 FIRST
Leader 3 LAST
Leader 4 TITLE
Leader 4 FIRST
Leader 4 LAST
Leader 5 TITLE
Leader 5 FIRST
Leader 5 LAST
	I want to receive confirmation via * *Please note that if you register less than 72 hrs. prior to a training, you may not receive confirmation, but your information will be forwarded to the host site.

Comments or special instructions:

If you have questions, please call (866) 578-6865.