2018 REGIONAL ASSEMBLY

April 27- April 29, 2018 - Valley Christian Church, BIrmingham, Alabama

All Fields marked with an (*) are required fields.  Click the SUBMIT button at the bottom to process your registration.  AFTER submitting your registration form, you may choose the link to be directed to the ALNWFL payment portal.  

Name *
Name
Address *
Address
Phone *
Phone
Please select the number of adults ($35) registered with this form.
Please select the number of Adults ($40) registered with this form
Thank you for your generous financial support of our Regional Assembly.
Please select the number of tickets for the Women's Luncheon being purchased with this registration. This luncheon will be at Shades Valley Lutheran Church
Please select the number of Men's Luncheon tickets being purchased with this registration. This luncheon will be at Valley Christian Church.
Please select the number of tickets for a child's lunch to be purchased with this registration.
Please select the number of Youth/Adult Dinner tickets to be purchased with this registration. This dinner will be held at First Christian Church, Birmingham.
Please select the number of Child's Dinner tickets to be purchased with this registration. This dinner will be held at First Christian Church, Birmingham.
PAYMENT OPTIONS *
NOTE: Discounted rates apply only when complete registration forms AND full payment are received by the submission deadline date.

To pay online, please click here  AFTER you have pressed the submit button.  This will direct you to the ALNWFL payment portal.  By registering for this event sponsored by the Alabama-Northwest Florida Region, you are agreeing to the REFUND POLICY.  Additional paperwork is required for each registrant Nursery - 12th Grades.  Registration is NOT complete without ALL paperwork and FULL payment.  Discounted rates will not be honored after the deadline date.  If you have questions or encounter problems submitting your registration, please call Susan at 205-425-5245.