EASTERN DISTRICT - NDCPYPU
2025 REGISTRATION FORM
Date
*
-
Month
-
Day
Year
Date
Event Date
*
August 2025
November 2025
Name
*
First Name
Last Name
Email
example@example.com
Church Name
*
Pastor Name
*
Additional Registration Names
My Products
*
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next
( X )
Eastern District Union Registration Fee $5
$
5.00
Additional Registration
$
Free
Quantity
0
1
2
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5
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8
9
10
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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
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