Registration Amount (in US Dollars)

Registration Fee $15  

Only Numbers Please! (do not enter $ sign)

You are registering for Freedom Encounter at New Beginnings June 4th-6th (Friday-Sunday) 2010

One person per  
form please.  

*=Required fields

First Name * 

Last Name * 

Address 1 * 

Address 2   

City * 

State * 

Zip * 

Country   

Phone * 

Email   

 

 
 

Credit Card

Type * 

Card # * 

CCV # * 

What is this?

Expires * 


Click "Next" to continue to the next page to verfiy all your information. Your credit card will NOT be charged until you verify.

Return Policy: Since we are a non profit organization, there are no refunds or returns.

Privacy Policy: New Beginnings Christian Center will not sell or share your personal information with any other organization or group.