CLICK HERE FOR FULL FLYER Please enable JavaScript in your browser to complete this form.Conference Location:Bible Way Church: 1100 New Jersey Avenue, NW, Washington, DC 20001Section 1: REGISTRANT CONTACT INFORMATIONPlease check one:MR.MRS.MISS.Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone Type: *Home PhoneWork PhoneCell PhonePhone *Email Address *Visitors/Guest Please Complete:Church AffiliationChurch AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePastor NameFirstLastChurch Phone NumberPlease Check Appropriate BoxNote: All Registered Attendees Receive Conference Registration MaterialsConference Registration - $41.00Onsite Pickup & Registration Hours | Location: BWC Prayer Chapel (Handicap Entrance)June 15 – June 17 11:00AM – 2:00PM June 22 – June 24 11:00AM – 2:00PM June 29 – July 1 12:00PM – 1:45PMPRE-REGISTRATION DISCOUNTS IF RECEIVED BY SUNDAY, JUNE 13, 2021Make Checks or Money Orders payable to: Bible Way Church Givelify (Bible Way Church of Washington DC)$36.00 Conference RegistrationCONFERENCE DATES: JUNE 27, JUNE 29 - JULY 1, JULY 4Bible Way Church, 1100 New Jersey Avenue, NW, Washington, DC 20001 Thank You!Make checks payable to: Bible Way Church; Electronic Payment AvailablePayment TypeCASHCHECKGIVELIFYMONEY ORDERNOTE: REGISTRATION IS NOT COMPLETE UNTIL FULL PAYMENT IS RECEIVEDPhoneSubmit