2023 National Convention How many people are you registering? * 1 2 3 4 5 6 7 8 9 10 Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue". National Convention Profile Individual Prefix Mrs. Ms. Mr. Dr. First Name * Last Name * Individual Suffix Jr. Sr. II III IV V VI VII Email Address * Phone Street Address City State - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code Church Name Diocese - select Diocese - Vistor Eastern Diocese Northern Diocese North Central Diocese South Central Diocese Southeastern Diocese Southwestern Diocese Western Diocese Pacific Northwestern Event Fee(s) Pre-Registration * - select Pre-Registration - Board of Bishops - $ 130.00 Executive Board Members - $ 60.00 Adults - $ 40.00 Family Registration - $ 100.00 Children & Youth (17&Under) - $ 20.00 Event Only - $ 5.00 Events/Add-Ons - All addons require a Registration UCWM Breakfast - $ 35.00 Rainer B. Wilson Banquet - $ 68.00 Brotherhood Breakfast (18 years and older) - $ 55.00 Brotherhood Breakfast (17 years and younger) - $ 35.00 Scooters - $ 228.00 Vendor Table (includes 1 rack and 1 table) non-refundable - $ 200.00 Vendor Table (may be purchased without a registration) - $ 400.00 Vendor Table Additional Racks - $ 100.00 Total for this participant Review
