Ezekiel 37 Mission Academia

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Email *

First and Last Name | Prenom et Nom de Famille *

Phone number | Numero de telephone *

City, Country | Ville, Pays *

Are you born again? | Etes-vous né de nouveau? *

Yes

Maybe

Are you part of a local church/ministry? | Etes-vous membre d'une eglise locale ou un ministere? *

Yes

Other:

Do you have a spiritual leader or mentor | Avez-vous un leader spirituel ou mentor? *

Yes

Other:

Why should you be part of this mentorship program? | Pourquoi devez-vous prendre part au programme du mentorat? *

OPTION 1: Make a payment (PAYPAL) : Enrollment is confirmed once full payment is received. | Effectuer un paiement (PAYPAL) : L'inscription est confirmée une fois le paiement complet reçu. Click HERE: paypal.me/ezekiel37mission *

https://www.paypal.com/paypalme/ezekiel37mission

One time $75

First payment installment | Premier tranche paiement $35

Second payment installment | Deuxième tranche paiement $40

OPTION 2: Make a payment (Debit/Credit card) : Enrollment is confirmed once full payment is received. |Effectuer un paiement (Carte banquaire) : L'inscription est confirmée une fois le paiement complet reçu. Click HERE: https://www.ezekiel37mission.org/donation *

One time Payment $75

First payment installment | Premiere tranche paiement $35

Second payment installment | Deuxième tranche paiement $40

A copy of your responses will be emailed to the address you provided.

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