bouquet

The AME Zion Quadrennial Evangelism Congress
Online Registration Page


Dorothy Walls Conference and Retreat Center
April 10-13, 2012

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Early Registration - Before March 10, 2012 EST - $135.00
Registration - Beginning March 11, 2011 EST - $150.00
(Call for Special Group Rates)


Early Registration
Price: $135.00		 Enter desired number of registrations.


See note below when registering more than yourself!
Click Add Now button to proceed to check out.

Information for all additional person MUST be listed below. Do not include yourself here.
Up to EIGHT persons maybe be registered below.

Information Needed:
Each Additional persons full name, address
Episcopal area/Conference/District
Church/City/State
Pastor's name
Special assistance or dietary requirements
Emergency Contact Name/Phone

First Additional Person
 Second Additional Person
Thrid Additional Person
 Fourth Additional Person
Fifth Additional Person
 Sixth Additional Person
Seventh Additional Person
 Eighth Additional Person


Send Registration, Check/Money Order to:
The Bureau of Evangelism, AME Zion Church
P O Box 217258, Charlotte, NC 28221-7258
Phone (704) 599-4630 Ext. 323 or Fax: (704) 688-2547


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