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Leadership Essentials Closer Look Registration

Welcome to PLI! We're looking forward to connecting with you at our upcoming Closer Look event. Please fill out a form for each person attending.

Contact Information

Name

*

First Name

Last Name

Home Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Cell Phone Number

*

Email Address

*

Verify Email

*

Congregation or Ministry Name

Please enter the full name including city and state in parentheses as shown in this example: Saint John Lutheran Church (Wheaton, IL)

Congregation or Ministry Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Amount

*

$50 - per person (includes teaching, coaching and meals at this Closer Look event)