St. James AME Church

Preparing Joshua
Registration Information:

Name:

Title: Pastor.    Rev.    Min.    Other

Address:

City:   

State: 

Zip code:

Telephone:(area code)   

Fax:

Email: @ .

Church Affiliation:

Church Address:

Please print your name as it should appear on conference ID:

Seminary Affiliation (current students only):
*Students must provide valid ID with registration*

I would like to reserve a seat on the Hotel Shuttle:  
yes    **No transportation will be provided unless this item is checked at time of registration**
no