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

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
Registration for conference*

Price:
$41.00

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
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