2026 Triennial Convention Delegate Registration Form

Triennial Convention Delegate Registration Form
REMINDERS
- Please try to submit all of your delegate names at one time.
- Each delegate must also be a paid registrant to the convention.
- Ministers are not automatically delegates but are allowed to be delegates for a group.
- Deadline for delegate credentials July 15, 2026.
- Membership will be checked against the most recent church reports on record at ACGC.
Type of Delegate
Select Associate Member
Associate Member Delegates
Associate Member Delegate
Church Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership
Delegate (1-150 Membership)
Delegates (151-250 Membership)
Delegates (251-350 Membership)
Delegates (351-450 Membership)
REMINDER: At least half must be lay members—meaning not credentialed as a minister and/or serving as a pastor.
Conference
Conference Membership
Delegates (1-300 Members)
Delegates (301-500 Members)
Delegates (501-700 Members)
Delegates (701-900 Members)
Delegates (901-1,100 Members)
Delegates (1,101 - 1,300)
Delegates (1,301 - 1,500)
Delegates (1,501-1,700)
Delegates (1,701-1,900)
Delegates (1,901-2,100)
Delegates (2,101-2,300)
Delegates (2,301-2,500)
Delegates (2,501-2,700)
Delegates (2,701-2,900)
Delegates (2,901-3,100)
Certification

I hereby certify that I am authorized to enroll these delegates on behalf of my group and the membership reported is correct to the best of my knowledge.
Submitter's Name

First NameLast Name
Submitter's Email
example@example.com
Should be Empty: