Faith at Home Town Hall Meeting Registration

Please register separately for each member of your team.

1. Which Town Hall meeting are you registering for?

	Ottawa - Tuesday, June 8 (Woodvale Pentecostal Church)
	Winnipeg - Thursday, June 10 (Church of the Rock)
	Maple Ridge - Friday, June 11 (Maple Ridge Baptist Church)
	Edmonton - Thursday, June 17 (West Edmonton Christian Assembly)
	Markham - Tuesday, June 22 (The Olive Branch Church)
	London - Wednesday, June 23 (North Park Community Church)

2. Please enter your contact information

First Name

Last Name

Church Name

Church Role

City

Province

Email Address

Phone Number

Mobile Phone