EASTERN DISTRICT - NDCPYPU
2026 REGISTRATION FORM
Date
*
-
Month
-
Day
Year
Date
Event Date
*
March 2026
May 2026
August 2026
Name
*
First Name
Last Name
Email
example@example.com
Church Name
*
Pastor Name
*
Additional Registration Names
My Products
*
prev
next
( X )
Eastern District Union Registration Fee $5
$
5.00
Additional Registration
$
Free
Quantity
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Item subtotal:
$
0.00
Church Report (Pastors/Youth Leaders Only)
$
20.00
Additional Offering
$
5.00
Quantity in increments of $5
Item subtotal:
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
Should be Empty: