2026 Northern Diocese of The Church of Christ (Holiness) U.S.A. Convention Registration Form

2026 Northern Diocese of The Church of Christ (Holiness) U.S.A. Convention Registration Form

June 26-28, 2026 - DoubleTree Suites by Hilton Hotel & Conference Center Chicago-Downers Grove 2111 Butterfield Road Downers Grove, IL 60515
Fill out your details and register up to 5 people per form. Please use a new form to register additional attendees. After clicking “SUBMIT”, please proceed to the payment source of your choice to complete the registration process.
Title:
Attendee 1- Full Name

First NameLast Name
Email Address
example@example.com
Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
My District/Local Church is:
Is this your first time attending a Northern Diocese Convention?
Select Your Registration Type: (Please select based on your title/position even if you are an Elected Delegate)
Do you need to register someone else?
Title - Attendee 2
Attendee 2- Full Name

First NameLast Name
District/Local Church for Attendee 2 is:
Is this Attendee 2’s first time attending a Northern Diocese Convention?
Select Your Registration Type - Attendee 2
Would you like to register another attendee?
Title - Attendee 3
Attendee 3- Full Name

First NameLast Name
District/Local Church for Attendee 3 is:
Is this Attendee 3’s first time attending a Northern Diocese Convention?
Select Registration Type - Attendee 3
Would you like to register another attendee?
Title - Attendee 4
Attendee 4- Full Name

First NameLast Name
District/Local Church for Attendee 4 is:
Is this Attendee 4’s first time attending a Northern Diocese Convention?
Select Registration Type - Attendee 4
Would you like to register another attendee?
Title - Attendee 5
Attendee 5- Full Name

First NameLast Name
District/Local Church for Attendee 5 is:
Is this Attendee 5’s first time attending a Northern Diocese Convention?
Select Registration Type - Attendee 5
Total Cost Due
PAYMENT INFORMATION

Registration Fees may be made after you click submit, using the following options:

Zelle - NDCOCHUSA

Givelify- Go to Givelify.com and type in: Northern Diocese Church of Christ (Holiness) USA

Mail a check- ALL checks must be postmarked by the June 17, 2026 deadline or you may use one of the other payment options.

Make Checks & Money Orders payable to:Northern Diocese COCHUSA

Mail to:Zion Chapel

3000 24th St

Detroit, MI 48216

Attn: Bro. Walter Hutchinson

or

Pay by cash or check onsite
How will you pay your convention registration fee?
Notes: (Questions, comments or concerns)
Should be Empty: