2019 FL-GA Pastor’s Conference Hilton Daytona Beach
September 23-25, 2019 Individual registration
Title *
Last Name *
Your answer
First Name *
As you would like on name tag
Your answer
Congregation Name *
Please list the name of your Ministry site
Your answer
Congregation City and State *
ex: Orlando, FL
Your answer
Email Address *
Your answer
Phone Number *
please use this format ###-###-####
Your answer
Cell Number
please use this format: ###-###-####
Your answer
Can the committee contact you by text at the number above? *
Mailing Address *
Your answer
City, state, Zip *
Please separate with commas
Your answer
Year Ordained or Commissioned
Your answer
Date of Birth *
mm/dd/yyyy
Your answer
Dietary Concerns
we will do our best to accommodate, however we do have catering limitations
Your answer
I am willing to serve on the Pastors Conference Committee for 2021
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