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Registration Information

Registration Options*

Timely Registration ($50.00)
Individual Registration postmarked or completed on-line by April 7, 2025
Late Registration AFTER April 7, 2025 ($75.00)
Individual Registration postmarked or completed on-line AFTER April 7
No Registration Fee ($0.00)
Invited Guest Speakers, Deans, Seminarians and Displayer (2 per table) do not have to pay a fee but must complete the registration form.

Name - First, Last*

Email*

Phone Number*

Home Address*

Registering as (select ALL that apply)*

Lay Delegate
Lay Visitor
Clergy (with vote)
Clergy Visitor
Seminarian (NO FEE)
CMR Council
Invited Guest Speaker (NO FEE)
Displayer (NO FEE) (2 per table)

Congregation or Organization you represent (list city & state)*

Do you have any dietary restriction*

Yes
No

Please Describe

Running Total

$0.00

Total

$0.00

Billing Information

Email*

Name*

Payment Method

Credit Card
Check

Credit Card*

Visa
Mastercard
American Express
Discover

Address associated with credit card*

RegFox Event Registration Software

Event Registration Software by RegFox