Women Who Minister 2023 Conference Registration Form

Women Who Minister 2024 Conference Registration Form

November 7th - 9th, 2024
Participant's Information
Full Name*

Title First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
example@example.com
Date of Birth*
First time attending a Women Who Minister event?*

YesNo
Church/Ministry Information
Church Information

Ministry Position (s)/Title How long have you served in this ministry?
Church Name

Street Address

CityState / Province

Postal / Zip Code
Conference Fees
Occupancy - Please check one box: TRANSPORTATION IS FROM BROOKLYN ONLY!*

Single w/o Transportation: $575.00Double w/o Transportation: $425.00Single w/ Transportation: $615.00Double w/ Transportation: $465.00
Transportation - *Additional $40**

YesNo
Name of roommate: Unless you are paying for a single room, YOU MUST identify your roommate. The conference administrators are not responsible for finding you a roommate. If you do not have a roommate by October 1st, you will be responsible for paying the full cost of a single room.
Please list any dietary restrictions:*
Do you have any special accommodations you would like us to be aware of?:*
If you are unable to attend the conference for any reason, you may transfer your registration to another woman. Unfortunately, we will not be able to offer refunds.
Conference Payments may be made by Givelify (you must download the app. and search for “Women Who Minister”), CashApp ($WomenWhoMinister), Zelle (womenwhominister@gmail.com), PayPal, or a check can be mailed to 111 South Franklin Avenue, #82, Valley Stream, NY 11582.

Please specify "Conference Deposit".
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Conference Deposit (Deposit is Non-Refundable)
$150.00



Single w/o trans.
$575.00



Double w/o trans.
$425.00



Single w/ trans.
$615.00



Double w/ trans.
$465.00



Total

$0.00

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.

Should be Empty:

Women Who Minister 2024 Conference Registration Form

Participant's Information

Church/Ministry Information

Conference Fees