11:00am EGS Healing Room

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11:00am EGS Healing Room

Registration Information

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Healing Type*

Physical, Emotional, etc.

Additional Comments*

We will email you within a few days with a confirmation of your appointment time. We kindly ask that you arrive promptly to check in by your scheduled appointment time. The first 30 minutes of your appointment will consist of soaking in our prayer room as our intercessors pray silently over you. The second 30 minutes you will spend in the prophetic room.

Registration Contact

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This information must match the address on file with your bank or credit card.

First Name*

Last Name*

Zip Code* Enter a postal code or zip+4

Phone* Must be 10 digits, ex: 555-555-5555

Email* This is not a valid email address

Payment Details

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Payment Type

Credit/Debit CardE-Check

Card Number* This is not a valid card number

Expiration Date*

Security Code*

This should be 3 or 4 digits

Account Type*

Checking Savings

Routing Number* This should be a 9 digits

Account Number*

Confirm Account Number* This does not match the first account number

Bradley Epworth Church

Event Information

Registration Information

Registration Contact

Payment Details

Total payment: $0.00