housing – SECURE USER

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Name (Responsible Party) *

First

Last

Phone

Email *

Church *

District *

Registration

Full Registration - $60.00

Includes: 1. Lodging, Denim and White Monday Night Fellowship with The Chairman, AIM Awards Luncheon, Workshop Materials, activity Day at the Jackson Family Fun Center
*For those who need housing, the $60.00 registration is included in the hotel breakdown*

General Registration - $20.00

*We encourage all Jurisdictional Officials, Pastors, District and Local Leaders to register in Full!*

How would you like to Register this one person or group? *

Registration with Housing - $60/person
Register me but I don't need Housing - $60/person

*Please be acknowledged that if you are registrating for multiple people, all people in this group registration would need to either all require housing at one time or all registrants in this group should not require any housing.

How many people are you registring? *

Please list the names of all of the people in this group that you are registring for. *

Be sure to put the names on a seperate line for each name with First and then last name.

Choose Payment Method *

Credit Card, Debit or Paypal
Check - Make all checks payable to: (Jurisdictional AIM Team)
Cash App ($CentralTN)
Givelify (TN Central Jurisdiction COGIC)

*If paying with check, Cash, Cashapp or Givelify, please indicate: Jurisdictional AIM Team

Paying with Check *

CONFIRM Yes, I am paying by check

*Make Checks Payable to Jurisdictional AIM Team 369 Lexington Ave. Jackson, TN 38301 *See Your Total at the bottom of the form.

Paying by Credit, Debit, Paypal: *

CONFIRM Yes, I am paying with Card/Paypal

*Credit, Debit and Paypal payments will be processed after submitting this form. *See Your Total at the bottom of the form.

Paying via CASHAPP: *

CONFIRM Yes, I am paying with Cashapp

*Cashapp Payments will be made using Cashapp app on your phone.*Cashpp payment to $CentralTN *See Your Total at the bottom of the form.

Paying via Givelify: *

CONFIRM Yes, I am paying via Givelify App

*Givelify Payments will be made using Givelify app on your phone.*Search Givelify for TN Central Jurisdiction COGIC *See Your Total at the bottom of the form.

Total

$0.00

** You will receive a confirmation in email after submission. Allow up to 5-10min to receive confirmation.

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