Global 10~Ultimate CEO Registration

February 9-11, 2010

Global 10~Ultimate CEO Event

Time: 9AM-4PM Each day

HOST:

Pastors J.B. & Susan Whitfield

Agape Faith Church

2101 Lewisville-Clemmons Road

Clemmons, NC 27012

Clemmons, North Carolina

REGISTER FOR THE GLOBAL 10~ULTIMATE CEO EVENT
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

Contact Information:
MAILING ADDRESS*
CITY*
STATE		ZIP
COUNTRY*
OFFICE PHONE*	HOME PHONE
CELL PHONE	FAX PHONE
EMAIL*	WEB SITE
	NEW, NEW, NEW, You may register unlimited 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.