Registration Information

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Thank you for registering!

First Name and Last Name

If you are the pastor just type"SELF" If you do not currently have a church home, state "NONE"

In case of an emergency, we will contact this person on your behalf.

In case of an emergency, we will contact the above contact at this number.

Please list any medical condition(s) we should be aware of in the event of an emergency.

Please add any information you would like to share with the Imani Men's Conference Committee.

Billing Details

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This information must match the address on file with your bank.

Copy Registration Address
Enter a postal code or zip+4

Must be 10 digits, ex: 555-555-5555
This is not a valid email address

Payment Details

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Want to use a different payment method? Log out or edit your account.

This is not a valid card number
This should be 3 or 4 digits
This should be a 9 digits
This does not match the first account number

Total payment: $0.00

$25 registration fee ---- $30 at door ---- Register early and save!