Register for Men’s Conference

Name: First and Last (required)

Email(required)

Address: Street Address (required)

Address: City, State ZIP Code (required)

Phone Number(required)

List a favorite Bible verse citation if you have one.

Write here if you need a scholarship and we will contact you

Pay $149. (More if you would like to contribute to scholarships).

This is a Two Steps Process

FIRST: Fill out the registration info and hit submit. (Then hit ’go back’ )

SECOND: Return to this page (it will be blank again but thats ok because we got the info Success! ) and then Use PayPal button to send your money. Click the yellow button.

If you don’t use PayPal then bring me cash when you see me 🙂

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