67th Bishops' Council & Workers' Conference GROUP Delegate Registration Form

Please complete this registration form and click submit. If you have questions, please email bwcwwregister@gmail.com.

Use this form to register GROUPS of up to 10 people from the SAME CHURCH.

For groups larger than 10, you may submit additional names by completing an additional group form(s) on this site. Please direct all inquiries to bwcwwregister@gmail.com.

PERSONAL INFORMATION-PRIMARY REGISTRANT

Ministry Title

*

Please select one option.

Apostle Bishop Overseer Pastor Prophet District Elder Elder Minister Deacon Brother First Lady Lady Mother Missionary Missionary-Evangelist Prophetess Deaconess Sister Dr.

Name

*

Suffix

PREFERRED CONTACT INFORMATION-PRIMARY REGISTRANT

Email Address

*

This address will receive a confirmation email

Mobile Phone

Home Phone

Mailing Address

CHURCH INFORMATION-PRIMARY REGISTRANT

Church Name

*

Pastor

*

AUXILIARY AFFILIATION-PRIMARY REGISTRANT

I am registering as a member of : (select all that apply)

Please select all that apply.

Executive Board of Bishops General Board of Bishops Missionary Department Women's Council and Young Ladies' Congress Clergy Wives and Widows of Covenant United Brotherhood/Deacons International Sunday School Department International Young People's Union Music Ministry United Ushers' Association Christian Caregivers Delegate Visitor

REGISTRANT #2

Ministry Title

Please select one option.

Apostle Bishop Overseer Pastor Prophet District Elder Elder Minister Deacon Brother First Lady Lady Mother Missionary Missionary-Evangelist Prophetess Deaconess Sister Dr.

First Name

Last Name

Email

Phone

Please register me with the following auxiliary (you may enter more than one):

Registrant #3

Ministry Title

Please select one option.

Apostle Bishop Overseer Pastor Prophet District Elder Elder Minister Deacon Brother First Lady Lady Mother Missionary Missionary-Evangelist Prophetess Deaconess Sister Dr.

First Name

Last Name

Email

Phone

Please register me with the following auxiliary (you may enter more than one):

Registrant #4

Ministry Title

Please select one option.

Apostle Bishop Overseer Pastor Prophet District Elder Elder Minister Deacon Brother First Lady Lady Mother Missionary Missionary-Evangelist Prophetess Deaconess Sister Dr.

First Name

Last Name

Email

Phone

Please register me with the following auxiliary (you may enter more than one):

Registrant #5

Ministry Title

Please select one option.

Apostle Bishop Overseer Pastor Prophet District Elder Elder Minister Deacon Brother First Lady Lady Mother Missionary Missionary-Evangelist Prophetess Deaconess Sister Dr.

First Name

Last Name

Email

Phone

Please register me with the following auxiliary (you may enter more than one):

Registrant #6

Ministry Title

Please select one option.

Apostle Bishop Overseer Pastor Prophet District Elder Elder Minister Deacon Brother First Lady Lady Mother Missionary Missionary-Evangelist Prophetess Deaconess Sister Dr.

First Name

Last Name

Email

Phone

Please register me with the following auxiliary (you may enter more than one):

Registrant #7

Ministry Title

Please select one option.

Apostle Bishop Overseer Pastor Prophet District Elder Elder Minister Deacon Brother First Lady Lady Mother Missionary Missionary-Evangelist Prophetess Deaconess Sister Dr.

First Name

Last Name

Email

Phone

Please register me with the following auxiliary (you may enter more than one):

Registrant #8

Ministry Title

Please select one option.

Apostle Bishop Overseer Pastor Prophet District Elder Elder Minister Deacon Brother First Lady Lady Mother Missionary Missionary-Evangelist Prophetess Deaconess Sister Dr.

First Name

Last Name

Email

Phone

Please register me with the following auxiliary (you may enter more than one):

Registrant #9

Ministry Title

Please select one option.

Apostle Bishop Overseer Pastor Prophet District Elder Elder Minister Deacon Brother First Lady Lady Mother Missionary Missionary-Evangelist Prophetess Deaconess Sister Dr.

First Name

Last Name

Email

Phone

Please register me with the following auxiliary (you may enter more than one):

Registrant #10

Ministry Title

Please select one option.

Apostle Bishop Overseer Pastor Prophet District Elder Elder Minister Deacon Brother First Lady Lady Mother Missionary Missionary-Evangelist Prophetess Deaconess Sister Dr.

First Name

Last Name

Email

Phone

Please register me with the following auxiliary (you may enter more than one):

PAYMENT INFORMATION

Registration is $20.00 per delegate. We encourage pre-registration by February 20, 2024.

The following payment options are available:
Credit card and ACH Transactions: Bible Way Online Giving
CashApp: $BIBLEWAY1957
PayPal: PayPal.me/BWWWINC or @BWWWINC
Givelify: BWCWW Givelifyhttps://paypal.me/BWWWINC?country.x=US&locale.x=en_US
On-Site: At Conference
Mail: Bible Way Church World-Wide, Inc. Headquarters
Attention: REGISTRATION
3820 Stoneshore Road, Virginia Beach, VA 23452

Total Amount Due:

Please select one option.

1 Registrant = $20 2 Registrants = $40 3 Registrants = $60 4 Registrants = $80 5 Registrants = $100 6 Registrants = $120 7 Registrants = $140 8 Registrants = $160 9 Registrants = $180 10 Registrants = $200

Payment Method (Select One)

Please select all that apply.

CashApp Credit/Debit Card Givelify PayPal BW Online Giving Site On-Site

CREDIT/DEBIT CARD PAYMENT:

-- ($0) 1 Registrant ($20) 2 Registrants ($40) 3 Registrants ($60) 4 Registrants ($80) 5 Registrants ($100) 6 Registrants ($120) 7 Registrants ($140) 8 Registrants ($160) 9 Registrants ($180) 10 Registrants ($200)

Amount

Enter comments/notes for the Registration staff (if any):

Please click the "SUBMIT" button below to process your registration.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please complete this registration form and click submit. If you have questions, please email bwcwwregister@gmail.com.

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