Ladies Conference

November 5-6, 2010

Attendee Information                                

Pastor’s Name: 

Church Name: 

Address:  

State/Province:  

Zip/Postal Code:  

Country:  

Main Contact:  

Email:  

Phone:  

Special Needs:  

Registration Information

Total Number of Adult Ladies:   

Total Number of Teen Girls:   

Total Number of Junior Girls:   

Conference Fees

Conference is free to every Pastor’s Wife who brings with her 10 or more delegates!

$ 5 late fee if postmarked after October 29, 2010

Adult/Teen Delegates ($20)

Junior Girls ($15)

Total Attending:  

Total Cost:  

Click here to view a Printable Version of the Ladies Conference Registration Form!