:: Home

:: Conference

:: Venue

:: Speakers

:: Schedule

:: Register

:: Contact

:: FAQ's

 
Register Online

 

We encourage you to put aside the norm, separate yourself from the inhibitions, and step out of the box and gather together with us August 11 – 14. This is an event you don’t want to miss! REGISTER TODAY and join us for the SHIFT Conference 20TEN.  We’ll be looking for you and excited to meet you!

 

REGISTRATION FORM

 

Name

Title

Partner #

Address

City

State

Zip

Phone

Email

 

Please tell us how you heard about us:

Kevin Mickie Ministries “Friday Night LIVE”

Kevin Mickie Ministries Website

Metro Gospel Beat

Kevin Mickie Ministries Email Announcement

Praise 104.1FM

Spirit WYCB 1340AM

Postcard AD

Black Gospel Promo   

Church Announcement

OTHER please explain: 

 

 

 

IMPORTANT

If you are registering for more than 1 person - Please click here.

If not - Proceed to Payment

 

 

 

 

 

 

 

 

 

 

 

-------------------------------------------------

 

Please complete for each person that will be attending.

 

 

#2

Name

  Same as above

Address

City

State

Zip

Phone

Email

#3

Name

  Same as above

Address

City

State

Zip

Phone

Email

#4

Name

  Same as above

Address

City

State

Zip

Phone

Email

#5

Name

  Same as above

Address

City

State

Zip

Phone

Email

#6

Name

  Same as above

Address

City

State

Zip

Phone

Email

#7

Name

  Same as above

Address

City

State

Zip

Phone

Email

#8

Name

  Same as above

Address

City

State

Zip

Phone

Email

#9

Name

  Same as above

Address

City

State

Zip

Phone

Email

#10

Name

  Same as above

Address

City

State

Zip

Phone

Email

 

Site by TaylorWorks.net