I want to include lunch for . . . *
Name *
Name
Phone *
Phone
Address
Address
Payment Submission *
Registration is complete only once payment has been received. See details on the right under Payment.
Media Release Waiver *
I give permission to Healing Center International to take photo or video of me during the Immanuel Approach Conference. I authorize Healing Center International to use my image in present and future promotional materials, emails, HCI’s website: www.GodHealsToday.org and HCI’s social media accounts, such as Facebook and Twitter. I hereby release Healing Center International and its legal representatives for all claims and liability relating to said images or video and I release my right to any compensation. By choosing yes below, I agree to and understand the terms and conditions as expressed to me by Healing Center International and acknowledge that I am over the age of 18.
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Please email me about classes, events, news and more!

Payment

Pay by check via mail

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Make checks payable to: Healing Center International. In the memo, write in The Immanuel Approach Conference.

Send checks to:  Healing Center International
                               c/o Bookkeeping
                               12022 Lake Newport Road
                               Reston, VA 20194

Pay online via PayPal

Early Bird Rates (ends 10/31)
Lunch Option*
*You will have the option to increase the number of meals you would like in the cart.

Location

Church of the Holy Spirit
908 Trailview Blvd. SE, Suite 200 
Leesburg, VA 20175