Conference Registration

Event: “Keep Coming Back to the Altar” Conference 2018
Date: March 16 – 18, 2018
Place: Doubletree – 5801 Southfield Rd. Dearborn, MI 48126

Instructions: To register for the conference, please fill out the form below. You can register up to 4 people at a time. After you have submitted your registration, you will be instructed on where to submit your payment. Any submissions received without an associated payment WILL NOT be accepted as a valid registration.

Number of Attendees*

Attendee 1 - Name*

First Last

Attendee 1 - Email*

Attendee 1 - Phone*

Address Attendee 1*

Street Address Address Line 2 City State ZIP Code

Registration Type

Attendee 2 - Name

First Last

Address Attendee 2

Street Address Address Line 2 City State ZIP Code

Registration Type

Attendee 3 - Name

First Last

Address Attendee 3

Street Address Address Line 2 City State ZIP Code

Registration Type

Attendee 4 - Name

First Last

Address Attendee 4

Street Address Address Line 2 City State ZIP Code

Registration Type

Registration Form