KPEJ - District Leaders Event Registration
TIME: 11:AM ---RSVP Deadline 9/25/2025....
"Celebrating Our Legacy"
Ticket Price: $100.00 Adults | $40.00 Children
Full Name (Mr. Mrs. Bishop Pastor etc)
*
Mr.
Mrs.
Bishop
Pastor
Elder
Prefix
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Affiliation | Company | Other:
*
Write NONE, if not applicable.
Email:
*
Please write NONE, if it does not apply
Phone Number:
*
Please enter a valid phone number.
KPEJ - Leader District Selection :
*
DISTRICT EVENT TICKETS - Please list all ticket holder name(s) in COMMENTS
*
prev
next
( X )
Adult Ticket - List Ticket Holder"s Name in COMMENTS
Per Adult
$
100.00
Quantity
Price
Grilled Chicken
1
2
3
4
5
6
7
8
9
10
$
100.00
Atlantic Salmon
1
2
3
4
5
6
7
8
9
10
$
100.00
Vegetarian
1
2
3
4
5
6
7
8
9
10
$
100.00
Item subtotal:
$
0.00
Children Ticket - List Ticket Holder"s Name in COMMENTS
Ages up to 12 years
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Meal Selection: List by name of each Ticket Holder
Please Answer
*
Signature
Comments | Questions | List names of Ticket Holders | Meal Selection
Thank you,!
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Buy with
Continue
Continue
Should be Empty: