Northern Ill. District Pastoral Conference
 

This form lets you enter your information directly into our registration database. If you are a vender and intend to come to any or all meals after registering please go to payment page. If you are a vender and plan not to attend any meals your fee is free.

Pastor Information

Title:

First Name:

Last Name:

Position:

City and Church:

Select your City and Church from dropdown list

E-Mail Address:

Are you attending:

Reason For Not Attending:

Is your wife coming?

Wife's Title:

Wife's First Name:

Wife's Last Name:

Number attending Tuesday lunch:

Number attending Tuesday dinner:

Number: attending Wedesday breakfast:

How are you going to pay?