Conference Registration GKBC 2024 - Conference Registration Form Adults (online version)Please enable JavaScript in your browser to complete this form. - Step 1 of 2Name:GenderMaleFemaleAge Group:18-2526-3536-4546-6060+Address:Address Line 1CityPlease SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTelephone Number:Email Address: *Church/Ministry/Organization Affiliation: I am a (an): ApostlePastorWorship LeaderBishopEvangelistChurch Board MemberMissionaryProphetOtherEmergency Contact:Relationship:Special Physical Needs (Health Concern)Date of arrival:Port of Arrival:AirportSeaport (Road Town)Seaport (West End)Airport Arrivals:American AirlinesWinairCape AirLIAT AirlinesinterCaribbean AirwaysChartered FlightSilver AirwaysOtherSeaport Arrivals:Road Town Fast FerrySmith’s FerryNative SonAquatic RentalsSpeedysOtherHotel AccommodationSebastian’s on the BeachHappy Lion Restaurant & SuitesFort RecoveryPrivate ResidenceMarias by the seaAir bnbOtherDate of Departure:Port of Departure:AirportSeaport (Road Town)Seaport (West End)Airport Departures:American AirlinesWinairCape AirLIAT AirlinesinterCaribbean AirwaysChartered FlightSilver AirwaysOtherSeaport Departures:Road Town Fast FerrySmith’s FerryNative SonAquatic RentalsSpeedysOtherT-Shirt SizeSmallMediumLargeX-Large2X-Large3X-LargeConference Registration FeeConference & Luncheon Registration - $150.00Conference Registration Only - $100.00Luncheon Registration Only - $50.00Conference Booklet AdsFull Page - $150.00Half Page - $100.00Quarter Page - $75.00Luncheon Food ChoicesSelect Food Choice ChickenFishVeggieOtherDo you have Dietary Restrictions? Donation To The A.L. Helligar Scholarship Foundation$25$50$100$200$500$1000$2000$2500$5000NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.Total Fees$0.00Select A Payment Mode:Card Payment(Stripe)CashAppZelleINSTRUCTIONS ON PAYING WITH CASHAPP OR ZELLE CASHAPP: $globalkbn ZELLE: globalkingdombuildersnetwork@gmail.com Select which mode best suits your payment When making payment indicate What You're Paying for E.G. Luncheon, Conference etc After Payment Take a snapshot of your payment and upload below Call or Send an email to the secretariat to confirm receipt of payment Submit Form For Cash App and Zelle Upload Snapshot of Payment Made Click or drag a file to this area to upload. Credit Card Payment *CardName on CardSingle Line TextPreviousSubmit
