Half-Day Workshop Registration Form |
Contact Name:_____________________________________________________________
Address:_____________________________________________________Zip:__________
Phone:__________________________Church:___________________________________
Number Attending:___________
Amount: $____________
Checks should be made payable to: Samaritan Ministry.
Please provide list of Additional Attendees' Names
Deadline: 3 Days Prior to Workshop
Check Segment Attending: ___ Bereavement ___ Ministry to
the Sick
___
Funeral Ministry
Please mail the completed form to:
Samaritan Ministry, Inc.
1015 E. Tri Oaks
#30
Houston, TX 77043
or FAX the form to: 281-589-8729
