African American Leadership ConferenceParticipant Registration

March 12 - 14, 2026

Church Information

First, please select the city where your church is located then, search for your church. If you don't see your church in the list, select the "My church is not listed" checkbox and enter your church's information.

Select your church's city

Search for your church

My church is not listed.

Enter your church's name

Enter your church's city

City ID

Church ID

Point of Contact Information

This section is intended for the primary contact for your group. If you are also attending, please add yourself as an attendee in the "Attendee Information" section.

First Name

Last Name

Email Address

Phone

Attendee Information

Please provide the specified information for each person who will attend.
Be sure to register each person with a unique email address. If you do not know their email address, please leave it blank. To add more people to this registration, click the "Add another attendee".

Attendee

Registration ($50)

I serve as a/an...

Senior PastorAssociate MinisterMinistry LeaderOther

What is your role?

Role Text

Total Role

First Name

Last Name

Phone Number

Count

Individual Discount

Individual price

Payment

Discount Code

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

Registration Total

Credit Card Information

Name on Credit Card

Credit Card Number

Expiration Month

Expiration Year

Security Code

(Card Verification Value / CVV / CSV)

eCheck Information

Bank Name

Name of Account Holder

Bank Routing Number

Bank Account Number

Account Type

CheckingSavingsBusiness Checking

Billing Information

First Name

Last Name

Street Address

City

State

Zip Code

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