Please fill out this form if you would like to request an invitation
to one of our Congressional Pastors' Briefings.

Please note, this event is limited to pastors and ministry leaders.

Asterisks (*) denote required fields.
(Information obtained on this registration form will only be used for Briefing
purposes and will not be shared with any other organizations.)

Have you ever attended one of our Congressional Pastors' Briefings?*
First Name
(as you would like it to appear on a nametag)
*
Spouse Name
(Note: Spouses are welcome to attend; however, do not indicate a spouse name unless they will definitely be in attendance.)
Last Name*
Title/Position*
Church/Ministry*
Church/Ministry Address*
City*
State*
Zip Code*
Church/Ministry Phone*
Home Phone*
E-mail Address*
How did you hear about the WallBuilders Pastors' Briefings?