Fairview Missionary Baptist Church

Registration for "FBC Men's Empowerment Conference 2026

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INSTRUCTIONS:

Please complete all required blocks (*). EACH ATTENDEE SHOULD COMPLETE A REGISTRATION FORM. Confirm information to complete the Registration Form. If paying online, you will be directed to a secure site, Givelify, to make your online payment. You will receive a receipt through Givelify if your online payment is successful.

Name: *


First Name	Last Name

Address


Address

Address Line 2

City	State	Zip Code

Phone: *

Phone Number

Phone Type: *

Select from list

Email: *

Email Address

Church Name: *

Pastor's Name: *


First Name	Last Name

What day(s) will you be attending the Conference? *

Select from list

Age Category *

Select from list

CHECKOUT:

METHOD OF PAYMENT / DONATION: *

Select from list

Please complete the appropriate option below, regardless of Method of Payment.

Please complete this section

Please indicate total number of registrants you are paying for @$25 each. If you are requesting a scholarship, leave number as 0. If your payment includes additional Conference Attendees, please show the number you will be paying for and list the names in the the MULTI-PAYMENT or SCHOLARSHIP DONATION block below. NOTE: Each person listed below should complete an application.

Cost: $25.00 each
Select Quantity

MULTI-PAYMENT OR SCHOLARSHIP DONATION (If you are paying or donating for a specific person(s), please list name(s) in the block below.

CONFIRM: Please click CONTINUE and Confirm information entered to complete the Registration Process.

* required