Awakened Life Training Registration Form

Jan. 5-7, 2020 at the Ministry Center

Fill in all the fields and click the submit button.
Payment options ($50 a person):
- Click the payment button, if you wish to pay by credit card.
- Do not need to hit the payment button, if you wish to pay by check. You may bring the check to the event or mail it to the North Texas Conference, PO Box 866128, Plano, Texas, 75086, Attn: Mariel Vela.

First Name

Last Name

Phone Number (xxx-xxx-xxxx)

Campus Ministry

Annual Conference

Dinner Will Be Provided, Please List Any Dietary Restrictions

What is 2 + 1 ?*