Transformation Anointing Conference with Bro. Sam Jebadurai - Registration
Name(s)     Format: (Title. FirstName LastName) - Example: (Mr. James Smith)
1.       2.
Email(s)              
Telephone number(s)              
Address
    Street Address
    		          City
         
    State
    		          Zip
         
Children Name(s) and Age(s)     Format: (Child's FirstName LastName, Age) - Example: (John Smith, 5 years)
1.       2.
3.       4.
Sandwich Option    
Prayer request, if any    
Registration: $10 per adult (18 years and older), $5 per child (3 - 18 years) which you can pay at the location of the conference.
If you need financial assistance to attend the conference, please email info@pottersministries.org