Register for 2012 Restoring Your Life Conferences: Mar 2 - 10, 2012 at New Life Vineyard

You may prepay by either credit card, PAYPAL (On our website), or check to insure a reservation. Adults $250, Couples $450, Child under 21 $100, Addl. Children $50, Alumni $130 or $20 Daily. Questions? Please call 513-588-9009

1. First Name
2. Last Name
3. Address
4. City
5. State
6. Zip
7. Email Address
8. Cell Phone Number
9. Home Phone Number
10. Have you Read "The More Excellent Way"?
11. Please Enter the Location of Conference Attending
12. Have you attended a Restoring Lives International Conference before?
13. How did you hear about our conference? Friend; Brochure; Disease Anonymous; Other (Please Specify). This will help us determine our best way to reach those who are hurting.

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