Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Cell Phone*Email* Church Name*Pastor's Name* First Last How did you hear about this event?Are you interested in volunteering?* Yes No Do we have your permission to utilize a photo or video of you on Facebook, our website, Online Television Network, and future advertisements and marketing?*YesNoChoice of Registration*Full Conference: $65Pastor’s Only Session: $25.00 (Friday, October 25th 4:00PM)Workshops Only: $30.00 (Saturday, October 26th 1:00PM)Will you be attending the Pastors Only session (Friday, October 25 @ 4:00PM)?YesNoChoice of Workshop*Select the workshop you will attend.NoneMaking a Presence on the Social Media PlatformsMarketplace LeadershipDeveloping Effective Intercessory LeadersUnderstanding How To Biblically Compensate Your Senior LeaderBuilding Blocks For A Successful TeamIs Your Financial Character Dictating Your Future?Marketplace LeadershipPartner SponsorshipCorporate Sponsorship?*YesNoMajor Corporate SponsorshipMajor Corporate Sponsor?*BronzeSilverGoldPlatinumNoneTotal $0.00 PhoneThis field is for validation purposes and should be left unchanged.