Register

To register, please complete the form and send it to the address listed below or simply submit it online.

Conference:	Please choose conference... Church Anniversary Apostle Appreciation Day Marriage & Singles Hardcore 4 Jesus
Name:
Address:
Phone:
Fax:
Email:

How did you hear about the conference?
TV Radio Newspaper Flyer/Poster
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Payment Methods:
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Please remit payment by checks or money orders payable to:

Miracle Temple Deliverance Ministries
There will be a $25 fee charged on checks returned by the bank.

Please mail completed registration form and/or payment to:

NAME OF CONFERENCE ATTENDING
Miracle Temple Deliverance Ministries
P.O. Box 1042
Burgaw, NC 28425