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As part of our Summit, we will have the opportunity to attend one workshop, and we will all gather for a powerful worship experience.


Complete the 2 parts of the registration:


1) COMPLETE FORM BELOW: Please review all entries and select the "SEND" button at the end of the form. You will received a confirmation message.


2) SUBMIT PAYMENT ONLINE OR CASHAPP THE PAYMENT TO $NEBCMD1922: After sending the form, you must "SUBMIT PAYMENT FOR SUMMIT" ON THE LEFT MENU." Or mail in your payment before 11/6/19. 

YOUR NAME: (FIRST, LAST, MI)

STREET ADDRESS (Include Apartment number)

CITY/STATE/ZIP CODE

HOME# AND CELL#

EMAIL ADDRESS:

Church Affiliation:

Name & Number of contact in case of emergency:

WORKSHOP: Select ONE workshop based on your interest or spiritual need: Below is the description of the workshop:

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