Registration Form

Healing Workshop Registration Form

Date of Workshop	August 3-4, 2007
Location	Candlewood Suites, 149 Ella Grasso Turnpike, Windsor Locks, CT 06096
Name *
Address *
City *			State *	Zip *
Home Phone *		Cell Phone
Email Address *
Church Affiliation
Payment *	Will mail a check	Paid online with PayPal

There is no registration fee for this Healing Workshop. However, the cost of the required workbook is $25.00.

To pay by check:
Print this completed form, then click the Submit Registration button. Mail the printed copy with a check for $25 payable to The Evans Ministries. Mail to The Evans Ministries, 1 Evans Way, Cranston, RI 02920.

To pay by credit card:
If you wish to pay by credit card or by direct transfer from your checking account, please click the Make a Donation button below, fill in the Item description and total amount. When finished paying click the Submit Registration button.

* required fields