Registration Adult

Pre-Registration: (must be postmarked by June 20, 2015) Adult registration

* Indicates required field

District *

Temple Number *

Pastor *

Name *

First

Last

Church Address *

Line 1

Line 2

City

State

Zip Code

Country

Age Range *

18- 35 36-55 56- 75 76 and up

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Main Phone Number *

Phone Number Cell/ other *

Christian Education Department Please check ONE. *

Ordination Examination (W.E. Crumes Institute mandatory for all ordination candidates) *

Elder Evangelist Missionary

W.E. Crumes Ministerial Institute (Mandatory for all ordination candidates; Separate $70 Registration Fee) *

I am a pastor, minister or evangelist and would like to register for the institute I am a layperson, and would like to register for the institute

Event Ticket *Ticket prices listed subject to change Please select the event(s) you will be attending. *

A night of Elegance with the Bishops – $50 Breakfast w/ Chief Bishop (Wednesday) - $20 Breakfast w/ Chief Bishop (Thursday) $20 Minister’s Wives Luncheon – $30 Ushers Luncheon - $30 Women Work Late Night Dinner - $35

Online Registration

Pre-Registration: (must be postmarked by June 20, 2015) ﻿Adult registration﻿

Pre-Registration: (must be postmarked by June 20, 2015) Adult registration