Name: *required
Email: *required
Address:
City/State/Zip:
Phone:
 
 
CONFERENCE REGISTRATION:
First Name Last Name E-Mail  
$15 per adult (age 14 and up)
$5 per child(ages 6-13)
children 6 and under are free
All conference attendees must be registered by name
 
 
Tithes: $
Offering: $
Benevolence: $
Missions: $
Casa Angelina: $
Building Fund: $
Other: $
If other, please identify specific amount and where it needs to go:
Total: (Fills automatically) $
 
Comments: