Conference Pre-Registration

Contact Information
First Name* Last Name* Suffix
Address* Address2  City*
State* Zip*    
Home Phone* Email*    
Church Information
Church Name* Church Address* Church Address2
City* State* Zip*
Church Phone* Church Email    
Biographical Information
I prefer to receive mail at:* Church Home
I am a:* Pastor
Assistant Pastor
Missionary/Church Planter Mission Field
Evangelist
Ministry Student
Layman
Other
Degree (Highest Earned/Received):*
Additional Information
Date Arriving:*   Date Departing*
Do you need a ride from the airport?* Yes No   Flight #
(for flights not going through Sioux Falls, please call our office [605-339-2038] to see if we have a scheduled pickup)
Will your wife be attending?* Yes No   Wife's Name
How many adults will be in your party?* Please fill out a seperate registration for each Adult attending!
How many children will be in your party?* (for meal purposes)
Comments and notations