Attendee Registration

Attendee Registration - D&PC 2022

Fill out this form for each attendee to be added to the District & Prayer Conference 2022 registration list.
To finalize registration, submit payment at the prompt following form submission.

First Name*

Last Name*

Church Name*

Church City, St

Ticket Type*

Official Worker (Voting, $25)

Email*

Cell

For optional text updates and reminders.

Phone

Notes

Once you click "Submit", your registration has been received. You will then be redirected to our payment portal (via RebelGive).

If you are a non-paying delegate, feel free to close out of that window.

The default setting is $25; if you need to adjust that amount, feel free to click on that field to edit.

Send me a copy of my responses