Connecting During Times of Crisis- Registration Form

October 29, 2022

Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Church*
Presbytery*
Please list any dietary restrictions/needs
Registration Cost
Price:
Form of payment
- Pay Online via Paypal
- Check
Please send your check to:
Foothills Presbytery
Attn: Pressley Cox
2242 Woodruff Road
Simpsonville, SC 29681
Please add in the memo line: Connecting During Times of Crisis
paypal fee
Total:
$0.00
$1 is added to the total if paying via Paypal
Comments
This field is for validation purposes and should be left unchanged.