Ministry Marriage Conference 2021 Registration

Full Name *

Please include you and your spouse’s name

Cell Phone Number *

Address *

Please include city, state, & ZIP code

Email *

Church Name *

Name of Pastor *

Church Address *

Church City & State *

Will you need lodging for this event? *

Would you and your spouse like to partake in the ‘Vow Renewal Ceremony’ during the Ministry Marriage Conference? *

Name

Unified Pentecostal Local Churches International Incorporated - Est. 1935