Pastors’ Wives Fellowship Registration 2022 | - Unified Pentecostal Local Churches International Incorporated

First Name

Last Name

Date of Birth

Phone Number

Name of Congregation

Church Address

City & State

Zip Code

The following information will be used on your name card. Please select one of the following:

First Lady
Senior Pastor
Co-Pastor
Widowed First Lady

How many years have you and your spouse been in ministry?

Your spouse’s first and last name (include Ministerial title):

How many years have you and your spouse been married?

Would you like to be contacted on campus room availability?

Yes
No

First Lady is welcomed to have (1) accompanying guest. Registration fee will be applied. If you plan on bringing a guest, please provide their first and last name.