Global Leadership Summit 2018 Registration
Please use this form to register. Payment must be made by mail via check to "Bayport United Methodist Church", 482 Middle Road, Bayport, NY 11705.

The Global Leadership Summit will be held from 9:30am-5:30pm each day at Shelter Rock Church in Syosset, NY.
Information about bringing / purchasing your lunch each day will follow for those who have registered.

Please contact Rev. David Czeisel at david.czeisel@nyac-umc.com for more information or to obtain a receipt.

First Name *
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Last Name *
Your answer
Church / Organization *
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Please indicate your church affiliation: *
Note: United Methodists from the Long Island East District or Long Island West District receive a special rate, due to a multi-district scholarship. All rates go up by $30 after June 21st.
Street Address *
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City *
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State *
Your answer
Zip *
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Phone (Cell Preferred) *
Your answer
Email Address *
Note: By submitting your email address, you give us permission to contact you about future Global Leadership Summits.
Your answer
Is this your first time attending the Global Leadership Summit? *
By checking below, I agree that I will use the skills and insights that I glean from the Global Leadership Summit in my church and life. *
Required
By checking below, I agree to allow the Long Island East District and Long Island West District to use my photograph from the Summit in conjunction with future online and/or print promotions and newsletters. *
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