Elim Fellowship Tri-Regional Conference 2015

The conference is Thursday October 1, 2015.

Registration 9am
Session 1 at 10am
Lunch 12pm
Session 2 at 1:25
Conference ends at 2:30

Name*
First Last
Email*
Contact Phone*
Contact Address*
Street Address Address Line 2 City State ZIP Code
Notes (optional)
Name of church*
Number to register including self
Name
First Last
Name
First Last
Name
First Last
Name
First Last
Name
First Last
Name
First Last
Name
First Last
Coupon Code
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Discounted Registration for Conference*
Price: $36.00 Quantity:
When you click the submit button your information will be sent to the church office and you will redirected to make your payment through Paypal.
Free Registration for Conference*
Price: $0.00 Quantity:
Registration for conference*
Price: $41.00 Quantity:
When you click the submit button your information will be sent to the church office and you will be redirected to make your payment through Paypal.
Early Payment Conference Registration*
Price: $35.00 Quantity:
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