DELEGATE: District Conference Registration Form

2026 District Conference Registration
DELEGATE

Please fill out one registration per delegate.
Register as a DELEGATE for District Conference by filling in the form below.
Registration fee is covered by church assessments.
You may purchase a Saturday lunch option.
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Congregation or organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you want to ONLY register for conference but NOT purchase the lunch option?
Lunch option choices with your registration.
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