Maximum Impact Mixtec Conference – February 3 & 4, 2017

Payments can be mailed to: (Please include a copy of registration with check)
Montgomery Baptist Association
20 Interstate Park Drive
Montgomery, AL 36109

Or, if you would like to pay with a Credit or Debit Card, you can contact our office at: 334-271-6227.

Basic lodging and hotel information will be provided upon completion of registration. The registration fee is $25 (includes meals) and the application deadline is January 20, 2017
Transportation is available for the Birmingham airport. Please let us know if you will be needing this service.
Conference meals will be provided by local churches.
Please contact Lisa Rose at Montgomery Baptist Association, 334-271-6794 or lrose@mgmbaptists.org for more information.

Your Name* (required)

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Registration for Maximum Impact Mixtec

Please provide information for each person attending the conference

Church Name*

Pastor's Name*

Your Address*
Street City State Zip

Your Home Phone*

Your Cell Phone*

Other Languages you can speak/translate: SpanishMixteco - GuerreroMixteco - OaxacaMixteco - Other

Do you need a translator? Yes - EnglishYes - SpanishNo

I will attend: Only on FridayOnly on SaturdayBoth Days

Please include other information in this area you would like for us to know:

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