T W : S

D.I.V.A.S. Women’s Ministry
(Dedicated, Inspiring, Victorious, & Anointed to Serve)
1st Annual Women’s Conference
“TOTAL WOMAN:
SPIRIT, MIND & BODY”
“Beloved, I wish above all things that thou mayest prosper and be in health, even as thy soul prospereth”
REGISTRATION FORM
SATURDAY, NOVEMBER 2, 2013 – 9:00 am – 2:00 pm
Full Name: _______________________________________________ (First name for badge)____________________________
Church Affiliation/Organization: _____________________________________________________________________________
Preferred Mailing Address:__________________________________________________________________________________
City: ________________________________ State/Province: ______________________ Zip/Postal Code: _________________
Country: _____________________________ Telephone: (______)__________________ Fax: (______)____________________
Email: __________________________________________________________________
REGISTRATION FEE $10
KEYNOTE SPEAKER: REV. DR. MARY MOSS
St. Alma Baptist Church
GUEST SPEAKERS: DR. BETTY KENNEDY
Shiloh Missionary Baptist Church
MINISTER KIARA BYNUM
Nazarene Baptist Church
SIS. CANDANCE RUSSELL
New Gideon Baptist Church
PAYMENT METHOD Check or Money Order must be in U.S. funds payable to: New Gideon Baptist Church.
Please check appropriate box:  Check
 Money Order  Cash
 VISA
 MasterCard (accepted on-site)
_____________________________________________________________________________________________________________________
Please mail or fax completed registration form with payment to:
Phone: (225) 926-4441
FAX:
(225) 926-4163
Email: [email protected]
Do not email credit card information because security cannot be guaranteed.
New Gideon Baptist Church
Attn: Conference Coordinator
2542 Balis Drive
Baton Rouge, LA 70808