Fields marked with asterisk (*) are mandatory
First Name:
*
Last Name:
*
Address:
*
City:
*
State:
*
Zip:
*
Phone:
*
Fax:
e.g. 123-123-1234
Email:
*
Church/Ministry Name:
*
Registration Fees
(All registration fees are non-refundable and non-transferable and are due at time of registration.)
Please check applicable box:
Executive Council Pastor:
$3,000
KACP Pastors:
$150 per person
(registration for a minimum of 25 persons is encouraged)
KACP Spouses:
$150 per person
Individual:
$75
(includes lunch on Thursday)
Please indicate which track you will be attending.
(Only select (1) one)
:
*
Pastors
Clergy Spouse
Church Staff
Church Leaders/Officers
Laity
Assoc. Ministers
Music Ministry/Worship
Special Needs:
Hearing Impaired
Blind
Handicapped
Other (please specify):
How will you be traveling to the conference?
Bus
Car
Plane
Train
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www.kingdomassociation.org