NON-DELEGATE: District Conference Registration Form

2026 District Conference Registration
NON-DELEGATE
Please register for District Conference by filling the form below,
specify the expected number of registrations.

NOTE: Delegates should use the DELEGATE REGISTRATION FORM.
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Number of people attending. If two people, list second person below.
Second persons name

First NameLast Name
Congregation or organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If more than one person is registering in this order, please select both 1st and second person options.
Total
You may pay by credit card or by mailing a check to the district office.

Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
Which payment method will you use?
To pay by check: Checks should be made payable to Church of the Brethren IL/WI District and mailed to Church of the Brethren IL/WI District to 1S071 Luther Ave., Lombard, IL 60148
Payment Amount

prevnext( X )
USDDescription
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

2026 District Conference Registration