2026 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

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Your Name*

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Your Phone Number*

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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*

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Card Details

Cardholder Name

Please remit payments to:

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