Group Registration Form | Full Strength Network

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Your Group/District/Region Name

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Group Price

Is this registration for yourself or for your group?

I am enrolling myself only.
I am enrolling one person in my group.
This is an enrollment for multiple people in my group.

Your Contact Information

Name*

First Last

Email*

Phone*

Should this membership be an individual membership (owned by you) or attached to a group?*

Individual (Owned By Me)
Group (Add This Registration to a New or Existing Group Account)
I Don't Know

This form is a group registration form. Groups consist of multiple members registered together in our system for the purpose of convenience with renewals and other benefits.

If you intended to register yourself with a single member registration instead of as part of a multi-person group, you can still use this form, but please select the Individual option.

If you intend to register yourself now as part of a group that already exists or as the start of a new multi-person group, please select the Group option.

If you're still unsure, you can continue with the I Don't Know option and we will help you figure it out.

Group Name*

Enrollee's Information

Name*

First Last

Email*

Phone*

Church Name*

Group Administrator Contact Information

Name

First Last

Email

Phone

Group Name

Member Registration Information

Please complete the following information for each new member. To add additional people, click the

after each individual's info row below.

First Name	Last Name	Email	Mobile	Church Name	Position

I understand and acknowledge by registering myself and/or members of my group for Full Strength Membership that each individual is on church staff and agree to the terms & conditions.

Click to view terms and conditions.

Agree

Payment Details

What email address should we send the receipt to?

How would you prefer to pay?

Credit Card
Send Me An Invoice
These Memberships Were Prepaid

Enter the quantity of members listed above.

Enter a 1 if only enrolling yourself.

Price: $199.00

Total

$0.00

Credit Card

Card Details

Cardholder Name

Card Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Where should we send the invoice?

Street Address Address Line 2 City State ZIP Code