Pastoral Care C3 Conference Registration
Please complete the information below. All fields with an * are required. You will receive a confirmation email and an invoice for remittance of payment.
Email address *
Last Name *
Your answer
First Name *
Your answer
Address
Your answer
City
Your answer
State
Enter two digits for state (ex : MI)
Your answer
Zip Code
Your answer
Phone Number *
Enter numbers only, no dashes (ex: 3135551212)
Your answer
Registration Fee (select one) *
Method of Payment *
Please select the method you will use for payment.
Date Payment Received
Leave blank if you have not yet paid. This will be completed by the registration team.
MM
/
DD
/
YYYY
Please make checks payable to Third New Hope Baptist Church. If you need to mail your payment, you may do so at: Third New Hope Baptist Church, C/O Pastoral Care C3 Conference, 12850 Plymouth, Detroit, MI 48227. Questions, please contact the church office at (313)491-7890.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy