Men's Conference Registration 2023

October 6-7, 2023 | Registration: $50

Registration cost is $50 and includes dinner Friday night and breakfast Saturday morning.

Recommended dress for all sessions is business casual.

Illinois District Men's Conference is for men 17 years of age and older. Young men who are 15 or 16 are welcome to attend with a father or mentor. Children under 15 are not permitted.

Bloomington-Leroy Hotel Registration: https://rb.gy/dq5lp

Please email revmaburk@sbcglobal.net with any questions.

Registrant Info

Name

Email (Where registration email will be sent)

This address will receive a confirmation email

Phone

Pastor's Name

Event Details

Housing

Off-Grounds Housing

Please select all that apply.

I have reserved a room in the Bloomington-Leroy hotel block. I intend to reserve a room in the Bloomington-Leroy hotel block. I am local or will be making housing accommodations through a different hotel, air bnb, etc.

On-Grounds Housing

Please select all that apply.

I will park my RV/Camper in the camp trailer park. ($30/night) (SOLD OUT - DO NOT SELECT) I would like to stay in a room. (Old Presbyter's Room or Unit Room, $30/room) I would like to stay in the dorm. ($10/person) I am staying in a room or camper that has already been paid for by someone else.

If you noted staying in a room that has already been paid for by someone else, please provide his name below.

Payment

Please select...

Registration Only ($50) Registration + Dorm Stay ($60) Registration + RV/Camper Parking ($80) (SOLD OUT - DO NOT SELECT) Registration + OP/Unit Room Stay ($80) Room Stay ONLY (Do not select unless you have been personally asked to do so.) ($30) Dorm Stay ONLY (Do not select unless you have been personally asked to do so.) ($10) Paid Cash (Walk-In) ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

October 6-7, 2023

Registration: $50

Men's Conference Registration 2023

Description

Please Fix the Following