District Conference Delegate Registration


This form is due by July 1st, 2017 along with the congregation’s Delegate Registration Fee. You may pay via the site or with a check payable to the Michigan District Church of the Brethren. New this year, churches pay $50 per allowed delegate (whether or not a church sends all their delegation does not alter the fee) if the registration is received by July 1st. After that day, a late charge of $25 will be due.


*Congregation Name

*Congregation Contact: Name

*Congregation Contact: E-mail

*Number of Delegates