2024 late registrations delegate

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Name of person paying for registration.

First

Last

Email of person paying for registration.

Name of Delegate

First

Last

Delegate Email Address

Delegate Phone Number

Church delegate is representing (Choose from dropdown list of congregations.)

Registration Fee

Price: $100.00

Extra Synod Reports

Price: $12.00

Each pastor and delegate receives one Synod Report as part of their registration fee. If you need EXTRA Synod Reports, order them here.

Total

$0.00

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Card Number

Expiration Date

Security Code

Card Holder Name