2026 Holy Convocation Registration Form

2026 Holy Convocation Registration Form
CONTACT INFORMATION
Name*

First NameLast Name
Ministry Title:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Fax Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
PRICING
Bishop ~ $1000Overseers ~ $750Pastors ~ $500Elders ~ $350Elder-elects, Evangelists, Ministers, Missionaries ~ $250EIT's & MIT's ~ $200Deacons & Deaconess ~ $150DIT's ~ $135Lay Members / General Attendance ~ $125Youth 10 years old - 17 years old ~ $50Children under 10: Free
Church Affiliation
Name of Church*
Pastor's Name:*
Church's Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church's Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Church's Fax Number:
Please enter a valid phone number.Format: (000) 000-0000.
Church's Email:*
example@example.com
LeviteChurch Leader / OfficerDiaconateArmor BearerLay Member
Method of Payment
We have chosen a convenient way to pay your registration fee, to add convenience and flexibility for our CCCI delegates. For electronic payments be sure to state Registration in the for/memo section. Each time a payment is processed, you will receive a response from the electronic form of payment you chose to use which will be your receipt for your records.
GivelifyZellePaypalCashCheckSwipe
All payment must be received by or before September 20, 2026, or an additional late fee of $150.00 (Levites) and $50.00 (Lay Members) will be added.
Should be Empty:

2026 Holy Convocation Registration Form

CONTACT INFORMATION

PRICING

Church Affiliation

Method of Payment