Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastDate / TimeDateTimeGSC Council *JUNEEmail *Phone *Address Line 1 *Address Line 2City *State *Zip *Your Church Name *Your Pastor's Name *Minister License Number# *Church SecretaryChurch PhoneComment or MessageSelect Pay $30.00 Local LicenseLocal License $30.00Please Select Method of Payment *Credit/DebitPayPalStripe Credit CardCardName on CardTotal$0.00 CommentSubmit
