Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Title *BrotherSisterLadySuffragan BishopDistrict ElderPastorElderEvangelistMinisterDr.Name *FirstLastEmail *Phone *Church Name *Comments or QuestionsHow Many People Are You Registering? *1 Person - $15.002 Persons - $30.003 Persons - $45.004 Persons - $60.005 Persons - $75.006 Persons - $90.00Will you be attending Leadership Conference *YesNoPlease List Additional Registrant Names With TitlesTotal: *$0.00Please Select Method Payment *Credit/DebitPayPalStripe Credit Card *CardName on CardCommentPAY NOW
