THREE BREAKTHROUGHS I AM COMMITTED TO IN MY LIFE ARE:

1)

2)

3)

WHAT WOULD PREVENT ME FROM COMING IS:

MY PURPOSE FOR TAKING THIS TRAINING IS:

I HAVE ATTENDED A DISCOVERY MEETING:

NO                           YES         DATE ______________

I AM COMMITTED TO PARTICIPATING IN THIS TRAINING AS SCHEDULED:

SIGNATURE                                                              DATE

If we do not have a minimum of 20 participants by 10 days before the training, the training will be rescheduled.

The Next Breakthrough Training:   March 23-26, 2006

      Breakthrough REGISTRATION

LAST NAME

FIRST NAME

NAME YOU PREFER TO BE CALLED

STREET NAME & NUMBER

WHO REFERRED YOU TO BREAKTHROUGH

YOUR CHURCH

YOUR PASTOR

( )

TELEPHONE

PLEASE MAKE CHECK PAYABLE TO RTS

AND SEND TO:

Reconciliation Training Service

SPONSOR Address

P O Box 533 Amherst NH 03031

SPONSOR NAME

Gaby Harris

603-672-3209 or Fax 603-672-1802

Cost of the Training is $250.00