Cleansing Stream Retreat Fall 2018 Registration
Email *
First Name *
Last Name *
Phone *
Address
Home Church *
Name of Your Pastor
Last time to attend a CSM seminar? *
(Note: If you haven't joined a Cleansing Stream Seminar before, this form is not for you. You would need to go through a Seminar before joining a Retreat)
Have you received Jesus Christ as your Lord and Savior? *
Have you been baptized? *
COMMITMENT: We ask all participants to commit to the following *
I would like to register as a: *
Payment information: Fees are non-refundable and must be received in order for registration to be processed. *
I would like to make payment by:
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A copy of your responses will be emailed to the address you provided.
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