ISC Annual Meeting 2023

Delegate Information

You may add a maximum of 7

Registrant Information

• *

  Choose one of these Delegate categories:

  • Lay Delegate
  • Pastor with ISC Standing
  • Pastor with Standing Outside of ISC
  • ISC Conference Council Member
  • MID
  • Visitor or MarketPlace Rep
• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• * 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
• * ZIP Code:
• Phone:
• Cell Phone:
• * Name and City of the Church You Represent?

• Fee

  Type	Fee
  Delegate Fee	$65.00
  Visitor Fee	$30.00
  Youth Registration	No Charge

Additional Information

• Do you plan to attend breakfast which begins at 8 am on Saturday?

  • Yes
  • No

• Which sandwich do you prefer for lunch? Options are not guaranteed.

  • Ham
  • Turkey
  • Beef
  • Salad

• For drinks, I prefer this. Options are not guaranteed.

  • Coke
  • Diet Coke
  • Sprite
  • Water
• Do you require a special diet? Please explain.
• Do you require handicapped accessibility? Please explain.
• Do you need child care (Under 5)? Please give the number of children and ages.
• Youth programming for ages 5 and up, Number Attending. (no fee)
• Do you plan to attend the After Glow Event? If yes, how many will be attending?