A1PT1 - National Baptist Congress Online Registration

Category A1 - $1,200.00 - 100 or More Delegates

THIS FORM IS FOR REGISTERING CHURCHES WITH 100 OR MORE DELEGATES. Please return to the Convention website to select a different form if:

· you are registering a church with less than 100 delegates

· you are registering as an Individual, State Convention or District Association

THIS ONLINE FORM WILL ACCEPT UP TO 120 DELEGATES. If you need to register more than 120 delegates, as soon as possible , send the additional delegate names and their first and second class choices to the Congress Registration Office via email: congressregistration@nationalbaptist.com . Reference your name, your church name and registration date.

Important: Please have all of your delegate and first and second choice class selections on hand. If changes or additions are needed after you submit this form for processing,contact the Congress Registration office (see below). Changes cannot be made online after you submit your form.

THIS FORM IS IN TWO PARTS DUE TO THE LARGE NUMBER OF DELEGATES. After you submit Part 1, you will go to Part 2 where you can finish adding your delegates and enter your payment information.

Congress Registration Office Communication

Preferred contact method is email: congressregistration@nationalbaptist.com

Mr. Maurice Lauher, Special Assistant, Registration
P.O. Box 769
Fort Mill, SC 29716
Phone/Fax: 803.396.0805 (call before sending a fax)

(For technical issues with the online registration system,
contact Dr. Denise Mayhan at webmaster@nationalbaptist.com )

(Note that we will try to get back to you as soon as possible, but due to high work volumes you should allow up to 48 hours for a response.)

Helpful Hint: Turn off the auto-fill feature in your browser if it's on (If you don't, it will automatically populate ALL of the delegate fields with YOUR personal information).

* Means required field

Contact Name*

First Name Last Name

Phone Number*

- Area Code Phone Number

E-mail*

Church Name*

Pastor Name*

Prefix First Name Last Name

Church Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Church Phone*

- Area Code Phone Number

Church Email

Church Website

My Church's NBC, USA, Inc. Registration Status (select one)*

Registered with the NBC, USA, Inc. Not registered with the NBC, USA, Inc. Don’t know/Not Sure

I would like to see the Congress develop online and mobile learning programs and applications.

Yes No Not Sure

The subject areas and/or types of programs I would like to see the Congress focus on developing are:

The computer and mobile platforms I am interested in are (check all that apply):

Other Platform(s):

I would like to see more Congress information, networking and learning opportunities on (check all that apply):

Facebook Twitter Website Email Web-based Meetings/Webinars Self-paced, self-study programs Other (list below)

Other Method(s):

Name

Prefix First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Instructions

Fill in the delegate name (s) and then select first and second class choices by ENTERING THE CLASS NUMBER (not the name).

When you have finished entering your delegates and their class numbers, scroll to the bottom of the page to submit this form and enter your payment information.

Class Availability Look-Up Tables

Click on the links below to look up classes by name or by class number. These documents are updated continuously. Each document will open in a new window for your convenience. You can save time by copying and pasting the class information into the class choice boxes below, or you can also type the information into the box. The Closed Classes List link will open in a new window on the National Baptist website where you can view the current lising of classes that are full and have been closed.

Classes List by Name Classes List by Number Closed Classes List

________________________________

1. Delegate Name