2024 DISTRICT CONFERENCE REGISTRATION

District Conference Registration

Due by May 15, 2024

Use this form to register persons from your church who will attend the Northeast District Conference at the Sheraton Parsippany, 199 Smith Road, Parsippany, New Jersey on June 20-21, 2024.

Every ministerial and lay delegate will be receiving a T-shirt, compliments of the Northeast District. Please include t-shirt size for each attendee as indicated below. Non-voting guests will not be receiving T-shirts.
Church*
Listed by City
MINISTERIAL DELEGATES, LAY DELEGATES AND LAY DBA MEMBERS
1. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
2. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
3. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
4. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
5. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
6. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
7. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
8. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
9. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
10. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
11. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
12. Last Name
First Name
Ministerial Delegate, Local Church Lay Delegate or Lay Member of the DBA?
T-shirt Size
NON-VOTING GUESTS - $60/person

Payment required when submitting the registration form.
1. Last Name
First Name
2. Last Name
First Name
3. Last Name
First Name
4. Last Name
First Name
5. Last Name
First Name
6. Last Name
First Name
All delegates and non-voting guests MUST pre-register!
Enter the Number of Delegates and Non-voting Guests attending conference
prevnext( X )
Number of Delegates
$ Free Number of Delegates

Number of Non-Voting GuestsCost includes the Ordination Reception and Breakfast at the Sheraton Parsippany.
$60.00 Number of Non-voting Guests
Item subtotal:$0.00

Total

$0.00
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Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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