INDIVIDUAL IFFM CONVOCATION REGISTRATION

YOUR HOME CHURCH INFORMATION
Church Name
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Church Phone
Please enter a valid phone number.
Church Email
example@example.com
Web Site
Pastor’s Name

YOUR IFFM CHAPTER INFORMATION

Vos informations de chapitre iffm | Su información capítulo miif
Chapter Name
Chapter Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Chapter Phone
Please enter a valid phone number.
Chapter Email
example@example.com
Web Site
Chapter Coordinator Name
How you serve in your chapter

YOUR TRAVEL INFORMATION
Arrival in Columbus
Date & Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Airline/Flt#
Bus
Departure from Columbus
Date & Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Other
Destination after Columbus
How long do you plan to be in US after Convocation?
Where do you plan to stay in Columbus before and after the Convocation?