Category State Convention- $700.00
(up to 5 Delegates, $25 each add'l)
This form is only for registering State Conventions. Please return to the Convention website to select a different form if you are registering as an Individual, Church or District.
Please have all of your delegate names 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 will accept up to 15 Delegates.
If you need to register more than 15 Delegates, as soon as possible, forward a copy of the registration confirmation email that you receive after submitting this form to the Congress Registration Office, along with the names and first and second classes choices for the additional delegates.
Congress Registration Office Communication
(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.)
Preferred contact method is email: email@example.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 firstname.lastname@example.org)
Note: Turn off the autofill 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