Pastor360 Summit Enrollment Form
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.
|First Name *|
|Last Name *|
|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) *|
|Street Address 1 *||
|Street Address 2||
|Postal Code *||
|Card Type *|
|Card Number *||
|Expiration Month *|
|Expiration Year *|
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)|