fields in bold are required

 

Email Address (will double as login)

 

Password


Confirm Password

 

First Name

 

Last Name


Address


City


State/Province


ZIP code


Country


Birthdate (you must be at least 13 years of age to participate)
mm/dd/yyyy

 

Cell Phone

 

 

* No PO Boxes please. We will only use your address to send you your prizes and other Billy Field Agent items you request.

 

Are you willing to help us distribute materials about Billy in your area? (If selected, we’ll send you everything for free!)

 

Yes
No

 

Are you willing to help us alert churches in your area about this new film?

 

Yes
No

 

Which churches would you tell and how would you help us connect with them?

 

How did you hear about becoming a Billy Field Agent?
Ground Force Network

Billy website

A Friend
Other


I understand that by joining this team I am becoming a part of Ground Force Network and will receive email updates from time to time.

 

 

 

 


© 2010 Billy: The Early Years. Powered by Ground Force Network. Site Design by BuzzPlant.