GLBC Ladies Conference 2024 Registration Form - Ladies Conference 2024 "*" indicates required fields Name* First Last Church Affiliation Name:City:State:Home Address (for future mailings):* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Cell Phone:AttendeesHow Many People:*Please enter a number from 1 to 25.Name of person 2 attending: First Last Name of person 3 attending: First Last Name of person 4 attending: First Last Name of person 5 attending: First Last Name of person 6 attending: First Last Name of person 7 attending: First Last Name of person 8 attending: First Last Name of person 9 attending: First Last Name of person 10 attending: First Last Name of person 11 attending: First Last Name of person 12 attending: First Last Name of person 13 attending: First Last Name of person 14 attending: First Last Name of person 15 attending: First Last Name of person 16 attending: First Last Name of person 17 attending: First Last Name of person 18 attending: First Last Name of person 19 attending: First Last Name of person 20 attending: First Last Name of person 21 attending: First Last Name of person 22 attending: First Last Name of person 23 attending: First Last Name of person 24 attending: First Last Name of person 25 attending: First Last Enter any additional information here.Total Credit CardCard Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged. Δ
