Register for the GAC Men's Conference
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Registration Info
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Workshop Info
Special Interest 1 (Select 1)*
Special Interest 2 (Select 1)*
General Session (Select 1)
Young Men Session (Select 1)
Personal Information
Title*    Bishop    Evangelist    Reverend    Minister    Brother    Sister   
Last Name*
First Name*
Middle Init*
Home Address*
City*
State*
Zip*
Country* Check if U.S.
Phone 1*
Phone 2
Emergency Contact*
Emergency Contact Phone*
Emergency Contact Relationship*
Email*
Church: Check if Allen*
Pastor: Check if Rev.Dr.Floyd Flake*
Additional Information
Age Category
Youth 13-17 Young Adult 18-35 Adult 36-64 Senior 65+
Meal Preference
   Non-Vegetarian       Vegetarian    
Special Needs
Allergies
   No       Yes    
Other Medical Condition
Comments

REFUND POLICY

  • NO REFUNDS

CHECK POLICY

  • NO PERSONAL CHECKS ACCEPTED AFTER October 5, 2018.
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