CEO & Leaders Workshop Registration

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

	Spring/Fall 2010	Location
	April 30 & May 1, 2010 HOST: Pastor Kenen & Kathy Vance & Pastors Jonathan & Verna Del Turco Living Word Ministris 225 Meloy Road West Haven, CT 06516	New Haven, Connecticut
	May 11, 2010 HOST: Pastor Jim Schmitt Limerick, Ireland To register: http://wocc.ie	Limberick,Ireland
	May 14 & 15, 2010 HOST: Reverend Gerri Di Somma Carmel Christian Centre 817 A Bath Rd. Bristol, UK +44-117-977-5533 To Register: http://ceo.carmelcentre.org	Bristol, UK
	June 8 & 9, 2010 HOST: Pastor Al Veer Loerrach, Germany To Register: www.offenetuer.com	Loerrach, Germany
	September 14 & 15, 2010 HOST: Pastor John Grunewald RHEMA Germany Postfach 201163 Bonn, Germany +49-0-228-932-5220 To register: -office@rhema-germany.de	Bonn, Germany
	October 1 & 2, 2010 HOST: Pastor Kenen & 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
	Dates To Be Determined HOST: Pastor Bill Annis Faith Christian Fellowhsip Canada 230 Gorge Road Moncton, NV E1G1T6 To Register: cchurch@nbnet.nb.ca	New Brunswick, Canada
	October 19 & 20, 2010 HOST: Dr. Jerry Savelle Jerry Savelle Ministries 10350 Old-Cleburne-Crowley Crowley, TX 76036	Fort Worth, Texas
	October 22 & 23, 2010 HOST: Pastor Marion Dalton Bethel Harvest Church 105 Windridge Dr. Nicholasville, KY 40356	Lexington, Kentucky

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.