Lead Self
Lead Others

September 10-11, 2007


Person #1
First Name
Last Name

Position in Church

Name of Church
Street
City
State
Zip Code


Work Phone
Mobile Phone


E-Mail
Church web address
Worship Size

If an Administrative Assistant handles your reservations
Administrative Assistant
E-Mail of Assistant

Comments (if any)
Person #2
First Name
Last Name

Position in Church
Mobile Phone

E-Mail

Person #3
First Name
Last Name

Position in Church
Mobile Phone

E-Mail