Women Who Minister 2025 Conference Registration Form

Women Who Minister 2025 Conference Registration Form

October 30 - November 1, 2025
Participant's Information
Full Name*

Title First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
example@example.com
Date of Birth*
First time attending a Women Who Minister event?*

YesNo
Church/Ministry Information
Church Information

Ministry Position (s)/Title How long have you served in this ministry?
Church Name

Street Address

CityState / Province

Postal / Zip Code
Conference Fees: You must be paid in full by October 15th, before you arrive on Thursday, October 30!
Occupancy - Please check one box*

Single: $595.00PPDouble: $475.00PPConference ONLY (Includes 3-Meals): $275PP
Transportation - *Additional $40* : TRANSPORTATION IS FROM BROOKLYN ONLY!*

YesNo
Name of roommate: Unless you are paying for a single room, YOU MUST identify your roommate. The conference administrators are not responsible for finding you a roommate. If you do not have a roommate by October 1st, you will be responsible for paying the full cost of a single room.
Please list any dietary restrictions:*
Do you have any special accommodations you would like us to be aware of?:*
PLEASE NOTE:

IF YOU ARE UNABLE TO ATTEND THE CONFERENCE FOR ANY REASON, YOU MAY TRANSFER YOUR REGISTRATION TO ANOTHER WOMAN. UNFORTUNATELY, WE WILL NOT BE ABLE TO OFFER REFUNDS.

CANCELLATIONS MADE WITHIN 30 DAYS OF THE CONFERENCE DATE WILL REQUIRE FULL PAYMENT OF ANY REMAINING REGISTRATION FEES.
I acknowledge the cancellation policy stated above
Conference Payments may be made by Zelle (womenwhominister@gmail.com), PayPal, or a check can be mailed to 111 South Franklin Avenue, #82, Valley Stream, NY 11582.

Please specify "Conference Payment".
My Products
prevnext( X )
Single
$595.00



Double
$475.00



Conference ONLY
$275.00



Transportation
$40.00



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Women Who Minister 2025 Conference Registration Form

Participant's Information

Church/Ministry Information

Conference Fees: You must be paid in full by October 15th, before you arrive on Thursday, October 30!