7/29/2019 District Council Online Registration Form

1/2PLEASE NOTE:

Good Shepherd Church3031 Bittel RoadOwensboro, KY 42301

(270) 684-8274

KMN ANNUAL CONVENTIONRegistration/ReservationFormPlease complete this form, detach and return it with your registration fees and meal function fees to:Kentucky Ministry Network,P.O. Box 98, Crestwood, KY 40014

Please make all checks payable to the Kentucky Ministry Network. Deadline for meal reservations is April 1st.Questions? Call 502.241.7111.

NamePosition/Credential Level

CredentialedKY Minister/

DelegateSr. RetiredKY Minister Adult Guest

MissionsBanquet

WMLuncheon

STLLuncheo

$ $ $ $ $ $

$ $ $ $ $ $

$ $ $ $ $ $

$ $ $ $ $ $

$ $ $ $ $ $

Totals $ $ $ $ $ $

Total Enclosed: $

Credentialed KY Ministers! ! ! $50 single, $80 coupleChurch Delegates! ! ! ! $50 single, $80 coupleSenior Retired KY Ministers!! ! $30Adult Guest Pass (Tue. and/or Wed.) ! $10

Church _____________________________________ Contact Person _________________________

Address _________________________________________________________________________________

Phone _______________________________________ Email _____________________________________

Complete information below for all Registered Persons. Please use an additional sheet if necessary.

All non-voting adult attendees must register. You will receive a gpass at the door. Individuals arriving only for a meal function do not need to register but need to pay for the meal only.Missions Banquet, Monday @ 7:30 pm! $25 (Childs Plate $10, for children 12 and underWM Luncheon, Tuesday @ 12:15 pm! $25STL Luncheon, Wednesday @ 12:00 pm! $25**For the STL luncheon, churches who have contributed $1500 or more will receive 4 free tickets. Please call the District Office at502.241.7111, ext. 14 to make those reservations. All others, please use this form.

Registration Fees:

7/29/2019 District Council Online Registration Form

2/2

f you wish to pay your registration fees online you can follow these instructions.

Go to www.kyag.org and click on the Conferences tab. Click on the link that says "Click here to pay

registration fees." This will redirect you to our online giving site.

PLEASE NOTE: It is possible that we do not have you in our online database system. You may need t

create a Guest login to pay online. To create a login, click on the Need a Login option. On the next page e

all required information then click continue.

Once you are logged in, you will be redirected to the payment site. Enter the total amount due for all ev

Click continue. A drop down list will appear. The list is in alphabetical order following the two options for t

f you are registering to vote select DC Registration (#17) and enter the total amount for all voters. To ma

your payments for the meal functions, select Missions Banquet Res (#39) for the Missions Banquet, STL

Projects (#52) for the STL Luncheon and WM Luncheon (#60) for the WM Event.

After you have added all necessary categories for your payment, click the continue button and then ch

your payment option. Or enter a new one if this is your first time paying online. We accept Visa, MasterCa

Discover and electronic checks.

Once you have entered your payment method click the Submit Changes button, then click the Proces

button. A printable receipt will pop up for your records.

If you have any questions or trouble creating your login, please feel free to call Debbie McBurney at

502.241.7111, ext. 15.

Submit