Convening Assembly Registration

Convening Assembly Registration

Thursday-Saturday, December 10-12.
1. Full Name (for name tag)

First NameLast Name
2. Current Church Name (for name tag)
3. Current Church Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
4. Registrant Email Address
example@example.com
5. Registrant Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
6. Ordained Office held by Registrant, if any (for name tag)
7. Is your current church in the EPC?
8. Is your current church seeking dismissal from the EPC?
9. If you answered "Yes" to question 8, where in the G.5-10 process is your church?
9A. If your church has held its first congregational meeting, what was the date of that meeting?
9B. If your church has concluded its second congregational meeting, what was the date of that meeting?
9C. In our second congregational meeting, my church voted to:
9D. Our congregation voted to seek membership in (name of denomination):
10. If your church has not completed the process of dismissal, what is its interest in Anchor?
11. If your current church is not in the EPC, what is its denomination?
12. If you do not have a current church, provide Registrant's mailing address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
13. Meals you plan to eat at Highland Heights
14. Comments or Questions
Indicate if you have questions about hotels or local transportation during the Assembly. A member of our team will contact you.
Registration fee is $75, which is a separate form.
Click the link below to launch the payment form in a new browser tab,
then return to this tab and click the blue Submit Registration button below.

Click here to pay the registration fee
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