Women Who Win 2018

April 18 - 20, 2018
VIP Registration - $40
General Registration - $30

Registration is Non-Refundable


Title:     First Name:     Last Name: 

Sr. Pastor or Sr. Pastor's SpouseYes   No

Address: 

City:     State:     Zip:

Phone Number:  

Church Name: 

E-mail Address:     My Destiny Connection ***: 
                                                                                                                                                      Daughter of Destiny Name or Site DOD Number

Age Group:      How did you hear about the conference: 

Type of Registration: 

Name on Card: 

Credit Card #:  Enter Credit Card number without spaces or dashes

Method of Payment:     Expiration Date:  /   CVV Number: 
          Enter Month and Date as two digits. (Example 01/20)  

By Clicking the submit button, you are agreeing that this is a non-refundable registration
Please click this button only once