Insight Registration
Group information for ease of communication
Email *
First AND Last Name with title or honorific *
Phone Number for Text Messages *
Street address *
City *
State *
Zip Code *
Episcopal District *
I understand that, in giving this information, I am giving my permission and consent to receive text messages, emails, and physical mail from Rev. Dr. Roderick Belin, the AMEC Publishing House, AMEC Church School, and all other entities connected with Insight: Life in the Spirit. *
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This form was created inside of Reverend Brandee Jasmine Mimitzraiem.

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