MDC Council Registration April 2019
MDC Council Registration April 2019
Title  * 
First Name  * 
Last Name  * 
Address  * 
City  * 
State  * 
Zip Code  * 
Phone Number
******************************PLEASE SELECT ONLY ONE CHURCH**********************
Church Name (A - Lig)
Church Name (Liv - Z)
Church Name (if your church name is not listed)
Please make donation to the M.D.C. $ 
Select auxiliary to complete online registration You can select more than one auxiliary. All Auxiliaries $70 General Registration $10 + $7 per auxiliary Youth under 21 - $7 only
General Registration  * 
Select Auxiliary #1
Select Auxiliary #2
Select Auxiliary #3
*Asterisk means that this information is required
**********************************Credential Fee******************************
Your Email Address  * 
Please type in the box to the right »  * 
Total $
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