Conference Registration

The conference is for ages 12 & older. Cost is $25 per person in advance, $30 per person at the door.
To receive the discounted price, please RSVP by August 18, 2018.
Make checks payable to The Word of God Community Church.
Be sure to click the SUBMIT button after you complete this form.
Please note that your registration will not be complete until you have mailed your payment to:
The Word of God Community Church, PO Box 35746, Canton, Ohio 44735.

Name: *

First

Last

Age *

Gender *

Male Female

Marital Status *

Married Not Married

Name #2: *

First

Last

Age *

Gender *

Male Female

Marital Status *

Married Not Married

Name #3: *

First

Last

Age *

Gender *

Male Female

Marital Status *

Married Not Married

Address: *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone: *

Cell Phone: *

Email: *

How often do you attend church? *

Regularly Often Occasionally Do not attend church

Total amount due: *

SUBMIT

The Word of God Community Church, 3504 Richmond Ave NE, Canton, OH 44705