MEMBER REGISTRATION FORM

Date: * +

First Name: *

Last Name: *

Title

Birthdate: +

Street Address: *

Address Line 2:

City: *

State: *

Zip Code: *

Home Phone Number:

Cell or Contact Phone Number: *

Email Address:

Branch Name: *

Choose Branch

Office Held: *

Choose Office Held:

Membership years?: *

What would you like to see this Conference do more of? *

How can this Conference help you develop your gifts? *

CHURCH INFORMATION

Name of Pastor:

Name of Church:

Church Address: Street, City, State, Zip

Church Ministry:

Ministry Office Held:

What is Your Calling:

Choose Calling

Are You Ordained?

Yes

No

Are You Licensed?

Yes

No

IN CASE OF EMERGENCY

Emergency Contact: *

Relationship to you?: *

Phone Number: *

CHOOSE YOUR CLASSES

This system of classes was given to us by the HOLY SPIRIT. It is intended to give each participant an immersive experience into one large topic, broken down into three classes or subtopics. At the end, each participant will be greatly enriched and will have a more complete picture and understanding of the subject matter. For this reason, we ask that each member choose a Class Track to attend for the duration of the conference.

NOTE: CHOOSE ONE CLASS TRACK FOR THE CONFERENCE - YOU CAN PRE-ORDER ALL TRACKS FOR $10.00 EACH. THEY WILL BE $15.00 IF PURCHASED AT THE CONFERENCE.

Track 1 - The Presence of God

The Outer Court

The Inner Court

The Holy of Holies

Synopsis: The practice of the presence of GOD is essential to the

Christian experience. In this class, we will explore what it takes to

get into the presence of GOD and how to maintain His presence

and what can happen in the presence of the LORD.

Recommendations: This is an excellent class for praise team

leaders, psalmists and those who want a better understanding of

how to practice the presence of GOD.

Instructor: Apostle David Wallace

Facilitator: Rev. Dr. Mary Clark

Speaker Bio

Track 2 - Prophetic Operation

The Spirit of Prophecy

The Gift of Prophecy

The Office of the Prophet

Synopsis: The prophetic ministry is the ministry from

which all others were birthed. It is the very voice of GOD

expressed in different forms. In this class, we will explore

the various aspects of the prophetic and bring a solid Biblical

understanding of this wide topic.

Recommendations: This is an excellent class for emerging

prophets and other prophetic vessels.

Instructor: Minister Faith Thompson

Facilitator: Deaconess Linda Woodson

Speaker Bio

Track 3 - Journey of the Heart

What's Going on With Me?

My Heart is Wounded...

The Great Exchange

Synopsis: Our hearts have been on a journey ever since we

were conceived in our mother's womb. Along the way, we

have had many experiences and have been handled in many

ways. All of the experiences have not been good and there

has been mishandling resulting in bruised, wounded and

broken hearts.

Recommendations: This is an excellent series for pastors

or anyone who continues to suffer with the brokenness of

their past.

Instructor: Pastor Therese Dialls

Facilitator: Rev. Dr. Gerlene Nesmith

Speaker Bio

Choose Class Track

Register for One Class Track *

Track 1 – The Presence of GOD - Apostle David Wallace

Track 2 – Prophetic Operation - Minister Faith Thompson

Track 3 – Journey of the Heart - Pastor Therese Dialls

Pre-order CD Series $10.00

Track 1 – The Presence of GOD

Track 2 – Prophetic Operation

Track 3 – Journey of the Heart

CONFERENCE BOOK ADS

Full Page Ad: $100.00

Full Page Ad

1/2 Page Ad: $60.00

1/2 Page Ad

1/4 Page Ad: $40.00

1/4 Page Ad

Company Specialty Items: $25.00

Company Specialty Items

Patrons List

Patron's Name:

All ads are black & white in Conference book. Patrons contributions will be listed in the Conference book along with your name. We will put your company specialty items in Conference participant bags. Send a jpg/gif/png formatted ad to wnemc.lexky@gmail.com no later than Friday, June 2, 2017. Be sure to add your payment confirmation information.

THURSDAY NIGHT DINNER

The Thursday night dinner is being catered by Mimi's Southern Style Cooking. She is offering a very nice selection for $20.00 to include a selection of meat and two sides. Drinks and desert will be included with your meal. Please select one meat and a choice of two sides. Your pre-selection will assist us in ordering. Thanks for your cooperation.

Meat - Select One

Meat loaf

Pork Chop

Baked Chicken

Fried Chicken

Sides One - Select One

Sides Two - Select One

Drink

Water

Tea

Lemonaide

Desert

Yes

No

Special Instructions:

Pre-order Dinner Ticket - $20.00

Dinner Ticket

COMPLETE REGISTRATION

Portions of this Conference is being photographed, audio, and video taped. By attending this Conference you give the Conference organizers permission to photograph, audio, and video tape you and your likeness to be used for purposes of promoting the Women's National Evangelistic and Missionary Conference activities.

I agree to be photographed, audio and video taped.

Name: *

Check List

Completly fill out registration form.

Filled out emergency contact.

Registered for one class track.

Pre-ordered CD Series. - Optional

Conference Ad. - Optional

Pre-ordered Dinner Tickets. Catered dinner must be pre-ordered.

Given consent for photos, audio/video tapping.

Review Your Total:

$0.00

Be sure to complete required (*) information and press continue to complete your registration.