Convention Registration – Delegations Convention: Delegation Payment Form Convention: Delegation Payment Form This form allows CHURCH ADMINISTRATORS to confirm and pay for the members of their delegations. Your Email (Church Administrator or Clergy) * If you're the administrator or clergy member completing the form for your entire delegation, please put your email here. If you need to register just yourself, complete the form for Convention Attendees Congregation * All Saints, FWEpiscopal Church of Hamilton Co. Episcopal Church of Wichita FallsEpiscopal Church of Wise Co.Good Shepherd, GranburySt. AlbanSt. AndrewSt. ChristopherSt. Elisabeth's and Christ the KingSt. Francis of AssisiSt. Luke's in the MeadowSt. Luke's, StephenvilleSt. Martin-in-the-FieldsSt. Mary, HamiltonSt. Stephen, HurstTrinityOther Congregation Select from the drop-down menu. Congregations - Confirm and Pay for your delegation Use this form if you are a CHURCH ADMINSTRATOR or clergy person who will be paying for the members of your congregation's delegation. If you are registering yourself as an attendee or as a vendor/exhibitor, use one of the other forms. Delegation member's name * What will this person's role be at the Convention? * DelegateAlternateYouth RepresentativeVoting Clergy MemberNon-voting Participant (clergy or lay)Visitor / Guest Select the role from the drop-down. If more than one of these describes this person, choose their primary role for the business meeting. plus1 Add Another Person minus1 Remove How many 2-DAY registrations are you paying for in this delegation? * Early Bird rate is $75 per person; after October 1, two-day registrations are $90 each. How many 1-DAY registrations are you paying for in this delegation? * Early Bird rate is $75 per person; after October 1, one-day registrations are $65 each. Total $ How would you like to pay? * Online (PayPal, debit, or credit) Check If you choose "Online", after you submit this form, you should be directed to the PayPal site - where you can use either a PayPal account or a credit or debit card. If you will pay by check, make the check out to "Episcopal Diocese of Fort Worth" with "Convention Registration" in the memo and send it to our billing address: PO Box 8695, Fort Worth, TX 76124 Δ