2025 Laymen’s League & Men’s Ministry Registration

If you prefer, you may download and print this form instead of filling it out online: Downloadable PDF Form

"*" indicates required fields

Your Name*

First Last

Your Email Address*

Your Phone Number*

TItle*

Your Address*

Street Address Address Line 2 City State ZIP Code

Registration Type*

Individual Registration

Church Affiliation*

Church Address*

Street Address Address Line 2 City State ZIP Code

Pastor*

Association*

Church Circle

Church President

Church Email Address

Church Phone Number

President's Address

Street Address Address Line 2 City State ZIP Code

Pastor*

Association*

Total

Payment Method

Credit Card*

Card Details

Cardholder Name

Please remit payments to:

The Virginia Baptist State Convention, Inc.
50 Moral Drive
Axton, Virginia 24054

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