ICEA Region IV Convention 2019 - Longview - OKLAHOMA STATE COUNCIL FELLOWSHIP OF CHURCHES (OSCFC)

REGION IV CHRISTIAN EDUCATION ASSOCIATION (REGION IV ICEA)
Church Report and Pre-Registration Form
Longview, TX September 5-7, 2019
[Pre-Registration $8 and On-Site Registration $10]

Individual Registration Form

* Indicates required field

PAW ICEA Region IV Registration *

Pre-Registration (Total Fee: $8.54...fee includes Givelify Processing Fee of $0.54) Regular Registration (Total Monthly Fee: $10.59...fee includes Givelify Processing Fee of $0.59)

Date *

NAME OF CHURCH & PASTOR *

Your Local Superintendent *

Your Email Address *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Your Title *

Your Name *

First

Last

Registration Age Group *

Total Amount *

DOES YOUR TOTAL AMOUNT INCLUDE YOUR LOCAL CHURCH REPORT AMOUNT ($26.03 with includes Givelify fees)? *

Yes No

Comment (Optional) *

Submit

Church Report Form

Individual Registration Form

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