36TH ANNUAL CONFERENCE SHIRLEY CAESAR OUTREACH
MINISTRIES: WILT THOU BE MADE WHOLE

DATES: TUESDAY, JULY 15TH – FRIDAY, JULY 18TH 2008

First Name Middle Last Name
Street Address or P.O. Box
City State Zip
Phone Church Affiliation
Type of registration: Adult or Youth Adult - Add $25.00
Youth(12 & Under) - Add $15.00
Founder's Banquet - Add $30.00
Quantity