Wufoo

Holy Epidemic - Australia

Please fill out the following form to apply for the Melbourne Holy Epidemic Conference '08.
$55 Entry includes both Friday evening & Saturday, plus conference workbook.
attendees also get FREE access to MP3 audios of the sessions)

Which Holy Epidemic Conference are you applying for?
Name * First Last
Email Address *
Primary Phone Number *
Postal Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Have you listened/watched or read "Hell's Best Kept Secret" and agree that the Law MUST be used in evangelism? *
Yes No
Have you listened/watched or read "True & False Conversion" and understand that not everyone that confesses Jesus is a Christian? *
Yes No
Are you currently involved in some form of Street Evangelism? *
Yes No but I want to be None of the above (thus I will now cancel filling out this form)
Number of Attendees *
Which Church do you attend? (this is not a mandatory field, but we'd appreciate you letting us know for statitstics) Thank you!
Do Not Fill This Out