YWAM
TYLER
Take Action Online Registration 2009
First Name:
Last Name:
Email:
(required)
Address 1:
Address 2:
City:
State:
Zip:
Phone:
**
Please select the City where you will be attending Take Action:
Tyler, TX February 28, 2009
Chicago, IL March 14, 2009
San Antonio, TX March 28, 2009
Please take a moment to answer these questions:
**
All Locations:
Would you like us to send you promotional flyers?
No
Yes
(#)
Would you like a Pastor's Pack to share with your Pastor?
No
Yes
**
Tyler, TX Location Only:
Do you need housing for your group:
Yes
No. # in Group
Would you like someone to share at your church about Take Action? (Only for those within 50 miles of Tyler, TX)
No
Yes