GMBC of Georgia Registration

2023 153rd ANNUAL SESSION | CHURCH REGISTRATION

Church registration fee $100 includes 3 delegates. Additional delegates $35.00

Member

Delegate's Title *

First Name *

Last Name *

Address

City *

Zip

Email *

Phone *

Church Name *

Register

Delegate's Title *

First Name *

Last Name *

Church Name *

Church street, city state zip *

Church Phone

Church Email *

Pastor Mobile Number *

Pastor Email

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Billing

Youth Usher Age *

First Name *

Last Name *

Address

City *

Zip

Email *

Phone *

Church Name *

Church street, city state zip *

Church Phone

Church Email *

GMBC District

Pastor's Name *

Pastor Mobile Number *

Pastor Email

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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