Summer Intensive Aug 4-5 (For Non-Members)

Please fill out the form below to register for the event.

Name(Required)

First Last

Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Country (Optional)

Primary Phone(Required)

Personal Email(Required)

Church or Institution(Required)

Role at Church or Institution(Required)

Church or Institution Address(Required)

Street Address Address Line 2 City State ZIP Code

Work Email(Required)

Summer Intensive Aug 4-5 (Non-Member Registration Fee)(Required)

Price:

**This includes CMI Membership for a year.

Credit Card

Card Details

Cardholder Name