Bus Reservation Form
Mighty Men of Valor National Conference

A Closer Look At “The Man In The Mirror”
April 12 - 13, 2019

Join Pastor Hodges at this Nationally acclaimed Men’s Conference at First Baptist Church of Glenarden in Upper Marlboro, MD (just outside of Washington, DC). Presenters and Musical Artists include:

Darryl Strawberry - Retired Major League Baseball Player
James Brown - Special Sports Correspondent, CBS News
Leon Timbo - National Recording Artist

NOTE
Conference registration and hotel registration is SEPERATE from this bus registration.
Conference Registration - https://menofvalor.com ($90 Adults/$30 Young Lions)
Hotel Reservation - https://tinyurl.com/y8fu4axu (Use Group Code “MMV” for special $129 + tax, Double or Single)

Please complete the form below to provide “bus reservation information” for this trip. BEFORE you hit the "Submit" button to send us your form, first make your online payment at https://freedonationkiosk.com:9011/spame/donation/new

IMPORTANT
During the online payment process, select the green box "CONTINUE AS GUEST" to complete bus seat reservation payment.

OR, you can pay by check or money order payable to St.Paul AME Church.
DEADLINE DATE to reserve your seat: March 19, 2019

It may be hand delivered to, or mailed to, the church office at 402 W. Edenton St. Raleigh, NC 27602. Please annotate “Men’s Conference Bus” on the memo line and also provide the seat holder(s) information requested below.

Thank you. We will respond to your submission promptly, to confirm receipt of form and payment status. Questions? Call Bill Motley, Trip Organizer at 919.696.8575 or motleyjr61@gmail.com.

Bus Seat Reservations *
Required
Seat Holder# 1 Name (First, Last) *
Your answer
Cell Phone #1 *
Your answer
Email #1 *
Your answer
What payment option did you select? *
Required
Seat Holder# 2 Name (First, Last)
Your answer
Cell Phone #2
Your answer
Email #2
Your answer
Seat Holder# 3 Name (First, Last)
Your answer
Cell Phone #3
Your answer
Email #3
Your answer
Seat Holder# 4 Name (First, Last)
Your answer
Cell Phone #4
Your answer
Email #4
Your answer
Have you provided information for all attendees? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service