GMBC of Georgia Registration

2023 153rd ANNUAL SESSION | ASSOCIATIONS W/ NO DELEGATES

Associations Registration WITHOUT DELEGATES: $200.00

Member

Registered Association Delegate(s) *

I Confirm Delegate Contact Info Is Correct

First Name *

Last Name *

Register

First Name *

Last Name *

Address

City *

Zip

Email *

Phone *

GMBC District *

Association Name *

Moderator's Name *

Moderator Contact ( address city state zip, and phone)) *

Moderator's Email *

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Billing

Youth Usher Age *

First Name *

Last Name *

GMBC District *

PayPal Express

Paylater

Paylater *

Billing details

Username Password

First Name *

Last Name *

Billing Address *

City *

State *

Country *

Zip Code *

Phone *

Email *

Complete Group

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2023 153rd ANNUAL SESSION

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