2012 CMTA IMPACT CONVENTION
APRIL 13-14, 2012 • PASADENA CONVENTION CENTER
Serving The Christian Community For 60 years
FAB FEB FARE Group Registration Form

All the tools needed to Equip, Train, Encourage and Inspire you for Kingdom Building

PLEASE NOTE: SPECIAL PRICING OF $46 IS FOR EACH INDIVIDUAL REGISTRANT

Pricing:	~~$80~~ $46 both days		You may pick up your Registration Packet and official Convention Badge in the Will Call area of the Exhibit Hall.
This is a LIMITED TIME Discount offer from February 1 to February 29, 2012 Take this special opportunity to register from 1 to 100 people for $46 each.

First Name
Last Name
Address
City
State
Zip
Phone
Phone Cell
E-mail
Re-Enter E-mail
Church
Area of Ministry

Additional Friends I would like to Register at $46 each

	First Name	Last Name	E-mail Address
1.
	Mailing Address
	First Name	Last Name	E-mail Address
2.
	Mailing Address
	First Name	Last Name	E-mail Address
3.
	Mailing Address
	First Name	Last Name	E-mail Address
4.
	Mailing Address
	First Name	Last Name	E-mail Address
5.
	Mailing Address
	First Name	Last Name	E-mail Address
6.
	Mailing Address
	First Name	Last Name	E-mail Address
7.
	Mailing Address
	First Name	Last Name	E-mail Address
8.
	Mailing Address
	First Name	Last Name	E-mail Address
9.
	Mailing Address
	First Name	Last Name	E-mail Address
10.
	Mailing Address
	First Name	Last Name	E-mail Address
11.
	Mailing Address
	First Name	Last Name	E-mail Address
12.
	Mailing Address

CHECKOUT:

METHOD OF PAYMENT

For your convenience we accept: Visa MasterCard Discover Amex

Card Number (no spaces or dashes)
Security Code
Exp. Date
Name on Card
Billing Zip
Promotional Code (If any)

Would you like to make a donation to sponsor someone else to attend?	Yes No Amount
Total amount to charge to my card Total = Registrants @ $46 each
Comments
Upon completion of online registration you will receive a copy of your order e-mailed to the address you provided.You may pick up your Registration Packet and official Convention Badge in the Will Call area of the Exhibit Hall

I Understand that submission of names can be transferable but are non-refundable.

Pastor Matthew Barnett
Friday Night Speaker

Matthew
Matthew Barnett, Best-Selling Author of the
Church That Never Sleeps and The Cause Within You and pastor of one of America's fasting growing churches, is one of the most dynamic voices God is using in Christianity today.

2012 CMTA IMPACT CONVENTION APRIL 13-14, 2012 • PASADENA CONVENTION CENTER Serving The Christian Community For 60 years FAB FEB FARE Group Registration Form

2012 CMTA IMPACT CONVENTION
APRIL 13-14, 2012 • PASADENA CONVENTION CENTER
Serving The Christian Community For 60 years
FAB FEB FARE Group Registration Form