Attendee Registration Form
CONVERGE MSC invites you to join us for
CHURCH PLANTING 101 & NEXT STEPS

AUGUST 9-10, 2023
Start time: Wed. 8/9 at 9a
End Time: Thurs. 8/10 at 2:30p

Hosted at Redemption Bible Church
505 W. Golf Road, Mount Prospect, IL
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Email *
First Name *
Last Name *
Church Name *
Title/Role at Church *
Church Location (City, State) *
Cell Phone # *
T-Shirt Size *
If you plan to bring members of your staff or team with you to this event, please list their names here.
(registration is free for anyone on your team who joins you, but let us know they are coming so we can plan meals accordingly)
*
Please pay the $35 registration fee to confirm your registration.
Online payments can be made at this link.

If you prefer to pay by check, please mail your $35 registration to:
Converge MidAmerica
924 Busse Hwy, Park Ridge, IL 60068. 
Checks payable to Converge MidAmerica.  
Memo Note: CP101 & Next Steps Registration
*
Required
We're looking forward to seeing you in August! We'll email you additional details two weeks prior to the event. If you have any questions or would like to register additional members of your team to join you for no additional cost after submitting this form, please email their names to melissa@convergemidamerica.org. Thank you!
A copy of your responses will be emailed to the address you provided.
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