LED BY FIRE
Pastor's Registation

Pastor's Registation is free to only the Senior Pastor & Spouse.
No one else can claim this registration. NO EXCEPTIONS.
Pastor's Registration does not include T-shirts.

ATTENDEE INFORMATION.

Church

 

*

 

City/State *
Mailing Address *
Senior Pastor Name *
Spouse Name *
Day Phone *
Evening Phone
Email Address *

T-SHIRT INFORMATION.

Small

 

*

 

Medium *
Large *
X-Large *
2x (Add $1 Each) *

3x (Add $2 Each)

T-Shirt sizes may not be exchanged.
Those order incorrectly will be given a large

*




PAYMENT INFORMATION.

Pastor's Registration is free. Credit card information
is only neccessary if you are ordering a T-Shirt.

Credit Card No.









Expiration Date  
Code (Located on Back of Card)  

Billing Address

**Your credit card WILL NOT be charged

until you recieve a confirmation email.