Divine Visitation International
Ministries
School of Deliverance
Title:
Name:
Address:
Zip:
State:
City:
Other:
Phone:
E-mail
Date of Birth:
Education
Have you completed any seminary training?
If YES, Seminary Name:
Dates Attended
Credential Earned:  
Occupation:
Do you have a home church?
If yes, Name of Church
Date
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875 Scenic Highway|Lawrenceville, GA330045
678-531-0530|678-698-6550|770-896-2493