First Episcopal District Registration - Arkansas
Name
Bishop
Presiding Elder
Rev.
Dr.
Rev. Dr.
Mr.
Mrs.
Miss
Ms.
Minister
Prefix
First Name
Last Name
Suffix
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Church
Pastor
Registration Status
Clergy
Lay
Missionary
Non-Conference Visitor
Annual Conference - Region
Please Select
Arkansas Region (ARKR)
East Tennessee Region (ETR)
West Tennessee Region (WTR)
District
Please Select
East District - AR
West District - AR
Southwest District - East TN
Southeast District - East TN
Northwest District - West TN
Northeast District - West TN
Annual Conference Delegate Status
Please Select
Delegate
Alternate
General Attendee(Non-Delegate)
If you are a delegate, do you plan to attend this meeting in-person?
Please Select
YES (Attending In-Person)
NO (Watching Only)
DELEGATES ONLY
My Products
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General Registration
$
50.00
Closing Offering
$
100.00
Communion Offering
$
100.00
Missionary March
$
100.00
Laity March
$
100.00
Pastor/Spouse March
$
100.00
Other
$
100.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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