CEO & Leaders Workshop Registration

To register for a CEO & Leaders Workshop, please check appropriate box. Thanks!

	Spring 2009	Location
	January 12, 2009 HOST: Pastor Michael Kalstrup & Pastor Dan Berry Training Location: Cornerstone Family Church 3114 S.W. 61st Street Des Moines, Iowa 50320	Des Moines, Iowa
	February 11-14, 2009 Global 09~Maximum CEO Event HOST: Pastors J.B. & Susan Whitfield Agape Faith Church 2101 Lewisville-Clemmons Road Clemmons, NC 27012	Clemmons, North Carolina
	February 27 & 28, 2009 HOST: Pastor Doug Bartsch His Place Family Church 5302 Spring Stuebner Road Spring, TX 77389	Houston, Texas
	March 20, 2009 HOST: Pastor Mario Moxey Bahamas Harvest Church Prince Charles Drive, Nassau +1-242-354-6265- Dolly Crooks To register-dollys@bahamasharvestchurch.org	Nassau, Bahamas
	April 1, 2009 HOST: Pastor John Grunewald RHEMA Germany Postfach 201163 Bonn, Germany +49-0-228-932-5220 To register-office@rhema-germany.de	Bonn, Germany
	April 4, 2009 HOST: Pastor Jan Barendse Amsterdam, The Netherlands Gebouw:'Keerpunt' Arent Janszoon Ernststraat 302 1082 LT Amsterdam Call: +020-644-6999 Fax: 020-644-4418 To Register: keerpunt@pinkstergemeente-amsterdam.nl	Amsterdam, Netherlands
	April 6, 2009 HOST: Reverend Gerri Di Somma Carmel Christian Centre 817 A Bath Rd. Bristol, UK +44-117-977-5533	Bristol, UK
	April 22, 2009 (TBC) HOST: Pastor Walker Schurz Location Information available soon	Lusaka, Zambia
	April 24, 2009 (TBC) HOST: Reverend Ron Kussmaul PO Box 1756 Ranspark Ridge 2156 +27-11-476-8392 Miranda Heydenrych To register-inspired@mweb.co.za	Johannesburg, South Africa
	May 1 & 2, 2009 HOST: Pastors Jonathan & Verna Del Turco International Family Church 99 Concord St. N. Reading, MA 01864	Boston, Massachusetts
	May 8 & 9, 2009 (TBC) HOST: Pastor Jason Guerrero & Pastor Drew Koen Regency Christian Center 7038 S. Pickering Avenue Whittier, CA 90602	Los Angeles, California
	Dates To Be Determined HOST: Apostle Ken Harrison Harvest Church 3 Beach Road Papakura, Aukland 011-64-9-299-9394	Auckland, New Zealand
	Dates To Be Determined HOST: Pastor Tony Cameneti Kenneth Hagin Ministries Australia 19/33 Meakin Road Meadowbrook, QLD 4131 07-3382-8000 To Register: trista@khm.org.au	Brisbane, Australia

REGISTER FOR THE CEO & LEADERS WORKSHOP
You are only eligible to register with a CEO.

If you are a leader, please obtain the confirmation of your CEO's attendance to the training before registering. Thanks!

Please complete information in full:
	* Designates required field
CEO TITLE	CEO FIRST *
CEO LAST*
SPOUSE TITLE (only if attending)	SPOUSE FIRST
SPOUSE LAST
MINISTRY NAME
I am a partner and I'd like to attend the Forum as well as the workshop:
Contact Information:
MAILING ADDRESS*
CITY*
STATE		ZIP
COUNTRY*
OFFICE PHONE*	HOME PHONE
CELL PHONE	FAX PHONE
EMAIL*	WEB SITE
	You may register up to 5 ministry leaders:
Leader 1 TITLE
Leader 1 FIRST
Leader 1 LAST
Leader 2 TITLE
Leader 2 FIRST
Leader 2 LAST
Leader 3 TITLE
Leader 3 FIRST
Leader 3 LAST
Leader 4 TITLE
Leader 4 FIRST
Leader 4 LAST
Leader 5 TITLE
Leader 5 FIRST
Leader 5 LAST
	I want to receive confirmation via * *Please note that if you register less than 72 hrs. prior to a training, you may not receive confirmation, but your information will be forwarded to the host site.

Comments or special instructions:

If you have questions, please call (866) 578-6865.