2022 Conference/Graduation Registration Form

Conference & Graduation Registration

June 23-25, 2022
Registration Information

> Conference/Graduation:

Single: $139

Married: $199

*includes Friday night banquet, workshops, 10 CEUs, graduation

> Only Saturday Workshops/Graduation: $50 *CEUs TBD

> Only Banquet: $50

> Only Graduation Participant: $25

*No fee for graduation guests

> Vendor Table: $75

*Limited availability
Full Name*

First NameLast Name
Spouse's Name

PrefixFirst NameLast Name
First time to attend conference?*

YesNo
Name Badge*
Preferred Name For Name Badge Ex Pastor, Dr.
Your Banquet Meal

BeefChickenVegetarian
Spouse Name Badge
Preferred Name For Name Badge Ex Pastor, Dr.
Spouse Banquet Meal

BeefChickenVegetarian
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
myname@example.com
Cell Phone*

Area CodePhone Number
Other Phone

Area CodePhone Number
Graduates Only
If you are a new Logos Global Network member since 2020: Clergy Credentials or Subordinate, please select your status and enter your subordinate name, if applicable.

We would like to recognize you and/or your ministry during the Ordination Service.
LGN Status

Yes, I am a LGN member (clergy credentials)Yes, I am a LGN member (subordinate)Yes, I am a LGN member (clergy credentials & subordinate)No, I am not a LGN member.
Subordinate Name

REGISTRATION PAYMENT

Conference/Graduation Single$139.00

Conference/Graduation Married$199.00

Only Saturday Workshops/Graduation$50.00

Only Graduation Participant$25.00

Vendor Table$75.00

Only Banquet$50.00

Quantity

Total $0.00

Credit Card Owner

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Conference & Graduation Registration