Registration Form

Person Registering:

Mailing Address (Home):

City, State, Zip (Home):

Church Name:

Church City:

Select Conference: *

ALPC - Associational Leadership Planning Conference [Pastoral Ministries] (No Fee)

The Coaching Leader ($25.00 Registration Fee)

The Shepherd's Heart ($15.00 Registration Fee)

Conflict Management ($15.00 Registration Fee)

Senior Adult Luncheon ($10.00 Fee) Evangelism Conference Jan. 23, 2007

Senior Adult Luncheon LBC Convention (No Fee)

Bivocational Ministry Breakfast (No Fee)

Other:

First Names
of registrants: *

Number Registering:

Cost per person:

Amount Due:

Mail Check or Money Order payable to: LBC
PLT Conference,
P.O. Box 311,
Alexandria, La. 71309-0311

Personal E-mail:

Home Phone:

Cell Phone:

Church Phone:

Comments:

* = Input is required