2025 Synod Convention Registration

Personal Information
A field marked with a red asterisk is required.

Name*

Title First Last

E-mail address*

Enter Email Confirm Email

Delegate type*

Delegate code*

Your Delegate Code is included in the delegate mailing

I have a personal device (computer, laptop, etc.) on which to participate in the convention*

Yes

No

What is your job title?*

Job title will be printed on your name tag.

Emergency Contact

Name in case of emergency*

Relationship to delegate*

Contact phone*

You are not required to provide payment.

Please accept the Data Privacy and Permission and then proceed to the Submit button to complete the registration.

Billing Information

Registration fee

Price:

District payment code

For Dakota-Montana and Minnesota Districts only

Total

You are not required to provide payment.

Please accept the Data Privacy and Permission and then proceed to the Submit button to complete the registration.

1. If using your personal card, enter your billing address OR
2. If using a church or school card, enter the billing address for the church or school (not yours!)

Credit or debit card information*

Discover

MasterCard

Visa

Card number

Expiration date

Security code Name on card

Billing address*

The billing address you enter MUST match EXACTLY with the address on file with your bank/credit card company. If using a church/school card, do NOT enter your personal address.

Street address line 1 Street address line 2 City State / Province Zip / Postal code Country