Paradise Missionary Baptist State Convention of AZ, Inc.

Paradise Missionary Baptist State Convention of AZ, Inc.

Registration Form- 104th Annual Session - Pastor James L. Harris, President
Novernmber 7-9, 2024 - Host: Grace Temple Missionary Baptist Church

1020 E. 31 st St., Tucson, AZ 85713, Host Pastor: Pastor D. Grady Scott

Phone (520) 622-8126
Complete all applicable sections. Registration for:

Personal - Part AChurch - Part BBoth A & B
Part A: Personal Info (Auxiliary Delegates only)

Parent Body OfficerScholarshipPastors/MinisterLaymen AuxiliaryWomen's AuxiliaryUsher's AuxiliaryEvangelism AuxiliaryYouth and ChildrenCongress of Christian Edcuation
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
Your church's name: Type a label
Your pastor's name: Type a label
Part B: Church Info (Church Registration Only)
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Email Address:
example@example.com
Pastor's Name:
Church Website Address:
Category
Church Representation Varies
Registration Amount
prevnext( X )
Pastors and Ministers
$20.00 Quantity



Auxiliary/Parent Body Officers
$15.00 Quantity



Church Presidents/Leaders
$15.00 Quantity



Individual Delegate
$10.00 Quantity



Youth/Children (18 & under NOT atttending Saturday)
$ Free Quantity



Youth Day and Jake's Unlimited
$20.00 Quantity



Scholarship
$10.00 Quantity



Presidsent's Lucheon
$25.00 Quantity



Fashion to Share Luncheon
$15.00 Quantity



Total

$0.00
First Time Attendee:
Methods of Payment:
Please make checks payable to: "Paradise State Missionary Baptist State Convention (PSC _ 2024 Regristration)

You can pay via Zelle at paradisestate1920@gmail.com or mail to PMBSC, 3129 E. Liberty Ln, Phoenix, AZ 85048

Your payment is considered pending until received at the door, via Zelle or in mail. Please allow 7 business days to process all payments.
Received By and Date:
Should be Empty: