AALC Participant Registration
African American Leadership Conference
Participant Registration
March 8 - 9, 2024
Church Information
Find Your Church
Please select the city first to aid in finding the correct church.
Church City
Church Name
My church is not listed.
Church Name
Church City
Pastor's Name
City ID
Church ID
Today
Attendee Information
Registration ($50)
Church Position
Assistant
Youth Pastor
Ministry Leader
Senior Pastor
First Name
Last Name
Email
Phone Number
Payment
Discount Code
Invalid Discount Code
Discount Applied!
Payment Type
Credit Card (3% processing fee will be applied)
eCheck
Registration Summary
Registration Subtotal
$
Discount Applied
$
Total Amount No CC Fee
$
Credit Card Fees*
$
3% added for credit card processing
x
Registration Total
$
Credit Card Information
Name on Credit Card
Credit Card Number
Credit Card Code
(Card Verification Value / CVV / CSV)
Credit Card Expiration Month
Credit Card Expiration Year
Credit Card Type
Please select...
Visa
Mastercard
Amex
Discover
eCheck Information
Bank Name
Name of Account Holder
Bank Routing Number
Bank Account Number
Account Type
Checking
Savings
Business Checking
Customer Billing Information
First Name
Last Name
Email
Street Address
City
State
Please select...
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Postal Code
Authorize.Net Hidden
Authnet_Hidden_Fields