2020 MARBC Conference Registration

2020 MARBC Conference Registration Form

Please complete all sections and then submit registration fee ($15 per person, $20 per couple) on the MARBC home page (Donate with PayPal). You may utilize PayPal or a credit card to pay the registration fee. The registration fee includes the cost of lunch. NOTE: Please note the deadline for registration listed with each conference option. In consideration of our host churches, we need to give them an accurate number for seating and lunch preparations.
Your Name (as you want it to appear on name tag) *

Prefix First Name Last Name
Spouse's name (if attending, name as you want it to appear on name tag)

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
Church / Ministry Name
Church / Ministry Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Church / Ministry Email
example@example.com
IMPORTANT! Select which regional gathering you are attending

Eastern gathering, Monday, October 19, NEW LOCATION! FIRST BAPTIST CHURCH, ROCHESTER (registration deadline is October 18) Western gathering, Tuesday, October 20, West Cannon Baptist Church, Belmont (registration deadline is October 19)
Please complete all sections and then submit registration fee ($15 per person, $20 per couple) on the MARBC home page (Donate with PayPal). You may utilize PayPal or a credit card to pay the registration fee. The registration fee includes the cost of lunch.

Please note the deadline for registration listed with each conference option. In consideration of our host churches, we need to give them an accurate number for seating and lunch preparations.
Enter the message as it's shown *
Should be Empty:

2020 MARBC Conference Registration Form