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Registration
Husband's Name
Last*
First*
Husband's E-mail*
Wife's Name*
State*
City*
Address Line 2
Street Address
Address*
Zip*
Wife's E-mail*
Husband's Phone Number*
Program Selection
Becoming One Unity Seminar*
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* denotes required fields 
Comments/Notes
Important note: Registration MUST be submitted by 
Monday noon the week of the seminar. 
Speaking from the Heart*
Walking In Victory*
Seminar Date MUST be selected by clicking a date in the drop down menu for the individual seminars.
Seminar Dates with Church names listed are closed to those outside of that particular church.  
While only one e-mail is required, the 2nd e-mail allows for a smoother process for taking the assessments.
Wife's Phone Number*
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Home Church
Loving Children God's Way*