Ezra Order Form

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Ezra Order Instructions
This and following screens will guide you through the step by step process to order your Ezra.
This process will end by allowing you to print a copy of your order and even will, at your option,
take you to the Ezra support web site.
Once your order is submitted, the ministry approval process will take place with the goal of
approving your order as soon as possible.
Once approved, you will receive an email with a link to download your Ezra, your unique Ezra
serial number, and step by steps to get started installing your new Ezra.
Click the "Next" button below to begin your order.

As the person entering the Ezra order, enter your contact information.
First Name:	Last Name:
Phone:
Entry Email:
I am the Leader:	Click to Yes if you are also the Weekend Leader

Review your inputs and when OK, click the "Next" button.

Tell us about your assigned Weekend/Short Course
Country:
State:
Prison/Advisory Council:
Ministry Type:
Yard (if applicable):
Weekend Number:
Weekend Start Date:

Review your inputs and when OK, click the "Next" button.

Tell us about yourself and how to contact you
First Name:
Last Name:
Cell Phone:
Your Email
Confirm Email:


Tell us about when you attended your Leader training.
Training Comment:

Review your inputs and when OK, click the "Next" button.

Tell us if someone else is to get the Ezra download instead of you
First Name:
Last Name:
Alternate Email:
Confirm Email:

Review your inputs and when OK, click the "Next" button.

Any additional comments?
Add'l Comments:

Almost through - click the "Next" button.



You are all set to finalize your Ezra order.
Click the "Submit" button below to record your order.
That will initiate the approval process and give you the opportunity to print
a copy of your order for your records.