Assembly 2019

Plano Texas, June 17-19, 2019

Please note that registration does not include hotel accommodations. Special rates for local hotels can be found at: http://disciple2019.com/hotels/

Contact Information

Name*

Title*

Street Address*

City*

State or Province*

Country*

Zip or Postal Code*

Email*

Is your cell/mobile number from North America?*

Yes
No

Are you a member of the Anglican Church in North America?*

Yes
No

Church/Ministry/Organization

Registration Options

Registration*

Assembly Attendee ($475.00)
(18 years old and up)
Youth Assembly Attendee ($200.00)
This registration category is for youth 3-17 years of age attending the adult track with a parent. To register for the youth-specific track [called the "Provincial Youth Gathering"] go to: https://younganglicans.com/pyg2019/register
I am only attending pre-conference events. ($0.00)

Pre-Conference Events

College of Bishops ($200.00)
Bishop's Wife ($200.00)
Elected Provincial Council Delegate ($150.00)
Provincial Council Observer ($150.00)

Running Total

$0.00

Coupon Code

Total

$0.00

Additional Information

Were you elected by your diocese as a delegate to Provincial Council?*

Yes
No

Were you elected by your diocese as a delegate to the business session of the Assembly?*

Yes
No

Emergency Contact and Phone #*

Do you have any special dietary requirements?*

Yes
No

Billing Information

Name*

Payment Method

Credit Card
Check

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

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