Indiana Annual Conference 2020 Registration
Contact Information
First & Last Name
*
First Name
Last Name
Mobile Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Conference Information
Church Name
*
Church city
*
Church Pastor
*
Status
*
Assigned Pastor
Conference Delegate
Conference Alternate
Other / Observer
I am also part of the
Missionary Society
Lay Organization
Sons of Allen
Young Adult Network
RAYAC
Tell Us Your Plans
I plan to arrive
*
/
Month
/
Day
Year
Date
I plan to depart
*
/
Month
/
Day
Year
Date
I will be looking to secure a hotel room
*
Yes
No
I tend to eat breakfast...
*
before I arrive at the church or venue (i.e. elsewhere).
at the church or venue when I arrive (i.e. what's provided).
Submit
Should be Empty: