THURSDAY MAY 23RD - MONDAY 27TH, 2024 CONFERENCE REGISTRATION FORM . Registration Donation $50.00 ( Non-refundable). Those in USA, MAKE DONATION CHECK PAYABLE TO TO: Joseph Kalema Ministries. Memo:(Conference) PAYMENTS MADE VIA CREDIT CARD WILL BE SUBJECT TO A 2.99% + .30 SERVICE FEE .

First name *

Last name *

YOUR MAILLING ADDRESS OR / if you have a P.O BOX Address. *

CITY / TOWN *

COUNTRY/STATE *

ZIP CODE *

Email address *

Contact Phone number *

Church or Ministry *

Title

Registration *

STAMFORD HILTON HOTEL, ACCOMMODATION ROOMS AVAILABLE. (TAXES NOT INCLUDED.) *

Hotel 4 nights & Breakfast. Room Sharing - (cost per person, $450.00)

Hotel 5 nights & Breakfast, Room Sharing-( cost per person IS $480.00)

Hotel 4 nights & Breakfast (King size bed) Single Occupancy $775.00)

Bundle for Couple King Size Bed ( 4 nights Bed & Breakfast) $890.00

Hotel 6 nights & Breakfast Room sharing (each person pays $595)

Hotel 6 nights & Breakfast, ( Suite King size bed) $1490.00)

NO ACCOMMODATION NEEDED NO BREAKFAST NEEDED

DATE OF YOUR ARRIVAL DATE AT THE CONFERENCE? *

WHEN DO YOU CHECK OUT of the Hotel? (This INFORMATION is REQUIRED BY THE STAMFORD HILTON HOTEL) *

Workshop session topics *

DONATION TOWARDS THE CONFERENCE *

Total Calculation:

$0.00

Do you have any questions we should address during the Workshop Sessions?

Would you like to VOLUNTEER AS *

How did you know about the Acquire The Fire, MAKE Jesus Known May Conference 2024? *

You consent to receive communications from us electronically. We will communicate with you by e-mail or phone. You agree that all agreements, notices, disclosures and other communications that we provide to you electronically satisfy any legal requirement that such communications be in writing. All information given above is true and I desire to be contacted for future meetings or conferences.

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