Registration – Dr Stella MD

Appointment MarketPlace

First Name *

Last Name

Phone Number

Email *

How long have you been a Christian?

Have you recieved the baptism of the Holy Ghost with speaking in tongues?

What church do you attend or affiliated with.

Are you seeking deliverance? If so tell us why.

Do you need Accommodation? Its free, First come basis *

Comment or Message

What Dates will you be coming

How many of you are coming

Name of Organization

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