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

If you have a coupon code, please enter it here.
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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