Register for the Women's Conference
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Provide the information below. * means required.
Registration Type and Cost
General Registration - $265
Senior Rate - $245
1-Day - Friday - $185
1-Day - Saturday - $185
Workshop Information
Early Bird Workshop
Special Interest Workshop*
Special Interest Workshop 2*
Bonus Workshop
Travel Information*
Bus is $45 from The Greater Allen A.M.E. Cathedral
Additional Information
Are you a committee member?*
Yes    No   
Which committee are you in?
Select one (If applicable)
Spv. Chair    Co-Chair    Volunteer
First time attending the conference?
Yes    No   
T-Shirt Size
Small    Medium    Large    XL    2X    3X    4X   
Personal Information
Title*    Bishop    Evangelist    Reverend    Minister    Brother    Sister   
Last Name*    
First Name*
Middle Init
Age range*
Home Address*
City*
State*
Zip*
Country* Check if U.S.
Phone 1*
Phone 2
Email*
Emergency Contact*
Emergency Contact Phone*
Emergency Contact Relationship*
Picture Upload / Comments
Upload a picture
Please upload a passport or headshot picture. Only jpg, gif or png images are allowed.
Pictures should be no larger than 10 MB in size.Pictures will be sized to fit a 150 by 150 box.
Comments
 
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