Registration

YES, I/we would like to participate in Merge Twin Cities.


Pastor/Executive Information

First Name (*)

Last Name (*)

Title (*)

Church/Organization Name (*)

Church/Organization Mailing Address (*)

City (*)

State(*)

Zip (*)

Office Phone (*)

Cell

Email (*)

YES: Please include me in daily prayer requests for MERGE via: EmailText (cell number required)

Our church could be used for various MERGE meetings and events: YesNo

Our Merge Coordinator

Coordinator First Name (*)

Coordinator Last Name (*)

Title within Church/Organization (*)

Office Phone (*)

Cell

Email (*)

YES: Please include me in daily prayer requests for MERGE via: EmailText (cell number required)

Message or Question

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