2023 FLORIDA STATEWIDE LECTURESHIP

Attendee Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Cell Phone:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

• Note that registration fees are non-refundable. On-Site Registration is $120.00.

• Fee

  Type	Fee
  Individual Registration, Includes $5 PayPal Processing Fee	$105.00
  Vendor Table, Includes $5 PayPal Fee	$155.00
  Souvenir Book - Half Page, Includes $5 PayPal Fee	$80.00
  Souvenir Book - Full Page, Includes $5 PayPal Fee	$105.00

Guest Information

You may add a maximum of 50

Church Information

• * Name of Congregation: