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** NOTE: The FAMILY FEE is allowed ONLY for families with 3 or more children, under age 17, living in YOUR household.

Pre-Registration: (must be postmarked by June 20, 2015)
Family registration (Meals are for the youth ages 2-17)

* Indicates required field

District *

Temple Number *

Pastor *

Church Address *

Line 1

Line 2

City

State

Zip Code

Country

Adult Name 1 *

First

Last

Adult Name 2 *

First

Last

Age Range *

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

Age Range *

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

Title *

Bishop Overseer Pastor Elder Evangelist Minister Missionary Brother Sister

Title 2 *

Bishop Overseer Pastor Elder Evangelist Minister Missionary Brother Sister

Youth Name 1 *

First

Last

Christian Education Department Please check ONE. *

Youth Name 2 *

First

Last

Christian Education Department Please check ONE. 2 *

Youth Name 3 *

First

Last

Christian Education Department Please check ONE. 3 *

Youth Name 5 *

First

Last

Christian Education Department Please check ONE. 5 *

Youth Name 4 *

First

Last

Christian Education Department Please check ONE. 4 *

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Home Phone Number *

Phone Number Cell/ other *

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

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

Elder Evangelist Missionary

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 Minister’s Wives Luncheon – $30 Breakfast w/ Chief Bishop (Thursday) - $20 Ushers Luncheon - $30 Women Work Late Night Dinner - $35

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** NOTE: The FAMILY FEE is allowed ONLY for families with 3 or more children, under age 17, living in YOUR household.

Pre-Registration: (must be postmarked by June 20, 2015) Family registration (Meals are for the youth ages 2-17)

Pre-Registration: (must be postmarked by June 20, 2015)
Family registration (Meals are for the youth ages 2-17)