Pastor360 Summit Enrollment Form

checkmark.gif Yes!  Jerry, Bill, Steve and Davy, I am ready to grow the Kingdom with less stress and more balance in my life, sign me up for your Pastor360 Summit!

I am acting now before the current discounted enrollment fee increases by $20.00 on October 3, 2016 at midnight.

I will also receive these great bonuses:

  • Bonus #1: I’ll receive breakfast each morning (fresh pancakes, scrambled eggs, biscuits & gravy, sausage and more)
  • Bonus #2: Lunch will be served each day, another opportunity for me to meet new friends and enjoy some awesome fellowship
  • Bonus #3: I’ll enjoy snack breaks each day
  • Bonus #4: And wait…there’s more, I’ll also be treated to evening hot appetizers & cold beverages
  • Bonus #5: I'll also get FREE Wireless internet access 24×7 in your Pastor360 meeting room & in my guest room

Process my transaction via your secure servers.

Contact Information
First Name *
Last Name *
Email *
How Did You Hear About This Event? *
If you could wave a magic wand and change 3 things in your ministry or life right now, what would they be? *
Cell Phone (in case of emergency) *
Billing Address
Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Credit Card Information
Card Type *
Card Number *
Expiration Month *
Expiration Year *
Product Purchase Plan
Pastor360 Summit $497.00 Value (Take Note of Your Discounted Enrollment)Amt
Total amount of $160.00 charged today,
1 Payment of $0.00 remaining.
Total Amount You Pay Right Now

Pastor360 Summit Terms and Conditions

I authorize Upward360 to charge my card(s) based on my selection on this page and I also affirm that the name and personal information provided on this form are true and correct and that this is a non-refundable transaction. If my plans change, I understand that my registration fee will be carried over to your next Pastor360 event.

Davy J. Tyburski, Co-Founder
PO Box 591296
San Antonio, TX 78259

Office (210) 360-1648 Ext. 1052
Confidential Fax (210) 568-4497

I have read and understand the terms of this agreement.
(Enter your initials)