Event Registration


Date Submitted
First Name *
Last Name *
Address *
City *
State *
Zip Code *
Phone Number (Include Area Code) *
Email Address *
Home Church
Number of people in group attending *
How did you hear about this event
Have you attended this or any other event here before	Yes No
If yes, what event did you attend
Have you ever been ministered to prophetically before at one of our conferences	Yes No
Can you remember who ministered to you and what was your experience
Have you attended one of our VCFI Courses	Yes No
Would you be interested in more information about our courses	Yes No
Do you plan to attend any of the Workshops? *	Yes No
If Yes, which workshop(s) do you plan to attend?
How will you be paying for the workshop registration? ($25 fee per workshop; due one week prior to the event dates)
I will mail a check to VCFI by the due date.	Yes No
I will mail cash to VCFI by the due date.	Yes No
I wish to authorize payment to VCFI with my Credit Card	Yes No
Credit Card Type
Complete Name on Credit Card
Expiration Date on Card
Three Digit Security number on back of Card
Credit Card Number