American Baptist Churches of Pennsylvania and Delaware

2018 Biennial Leadership Conference Online Registration

Please fill out an entire form for each person who plans to attend whether you register as an individual or in a group. If a question does not apply to you, simply select "No". Once you "Validate" the form and select "Send" the completed form will be emailed to Denise Veselicky (1-888-687-0883) and Caryl Casey (1-800-932-9442). When your registration has been processed, you will receive an acknowledgment. Payment can be made by scrolling to the top of the online registration form to the online payment link. If you prefer to pay by check, please make it payable to ABCOPAD and mail it to ABCOPAD; 159 N. Bellefield Avenue; Pittsburgh, PA 15213 prior to the Biennial.

Early-Registration Discounts Available, See Downloadable Forms for Details.  The best discount available for those who register by July 30, 2018.

Final Deadline for Early Registration is September 30, 2018.

On or After October 1, 2018, Registration is $175 Per Person

This PDF Registration Form Is To Help
You Fill Out The Online Form below


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Important Note: Please remember to keep track of the total payment due as you fill out this form so you can make an accurate payment via our online payment feature. Fill out the form and select 2016 ABCOPAD Biennial from the categories list. Then make a one-time payment for the complete cost of your Biennial registration.

Make an On-line Payment

First Name * Required
Last Name * Required
Title
Address
City
State
Zip Code
Email Address * Required
Phone Number
Cell Phone
Church (Please indicate church name and location)
Association
Church Resident Active Membership
Is this your first Biennial
First Time Participants:  Request Scholarship Assistance
Clergy or Lay Person
I am a Delegate
I am registering as an individual
I am registering with a group of 4 or more.
Registration Period
Workshop Opportunities

Friday
October 19, 2018

Participants May Select a Workshop from Each Session



Thursday, October 18, 2018 - Dinner
(Included in Registration Fee)

Friday, October 19, 2018 - Buffet
(Included in Registration Fee)

Saturday, October 20, 2018 - Breakfast
Additional Charge Applies


Saturday, October 20, 2018 - Lunch
(Included in Registration Fee)


Comments and Special Dietary Needs

Please validate by entering the text from the image below into the provided field.
YOU WILL THEN BE ABLE TO CLICK THE SEND BUTTON TO SUBMIT YOUR FORM.