PA Children's Ministries Adult Conference 2023 Registration Please enable JavaScript in your browser to complete this form.How Many People Are You Registering At This Time? *1 - $ 25.002 - $ 50.003 - $ 75.004 - $ 100.005 - $ 125.006 - $ 150.007 - $ 175.008 - $ 200.009 - $ 225.0010 - $ 250.00Registration = $25/person | Pastors & Wives Attend Free & Do Not Require RegistrationPrimary RegistrantName *FirstLastLayoutPhone *Email *Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlease List Additional Registrants (If Necessary)Person #2's NameFirstLastPerson #3's NameFirstLastPerson #4's NameFirstLastPerson #5's NameFirstLastPerson #6's NameFirstLastPerson #7's NameFirstLastPerson #8's NameFirstLastPerson #9's NameFirstLastPerson #10's NameFirstLastLayoutPastor's Name *Church Name *Total *$ 0.00Credit Card Information *CardName on CardRegister