International Conferences Registration Form

Once you fill out the form, please click “SUBMIT BUTTON” at the bottom to sent the form

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Name *

First

Last

Please Indicate your Nation *

What is your role in the ministry / church? *

Email *

would What your

What conference are you attending?Africa - IBLC ConferenceUnited States - IBLC ConferenceVirtue - IBLC ConferenceEurope - IBLC Conference

Price of accommodation per night per person including meals. Which access pass would you like to purchase?

• Bronze - $199.95
• Silver - $299.95
• Gold - $399.95

Which sessions do you plan on attending?

• Session 1
• Session 2
• Session 3
• Session 4
• Session 5

Will you be staying overnight?

• Yes
• No

How many people will be you? *

Would you like to be receiving updates for future conferences?

• I would like to receive email updates regarding future conferences

Comments or Questions

Submit

Please Note: All the information submitted on the registry form, shall remain confidential and for office use ONLY.

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