2017 CBF Luncheon – Table | New Baptist Covenant

Table Registration for the 2017 NBC CBF Luncheon

Time: 11:30 a.m.-1:15 p.m.
Location: Regency Ballrooms VI-VII, Hyatt Regency Atlanta, GA
Cost: $400/ table (seats 10)

Speaker: Reverend Raphael Gamaliel Warnock, Ph. D., Senior Pastor Ebenezer Baptist Church, Atlanta, Georgia

CBF 2017 Luncheon Table Form

Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of Person Hosting the Table*
Who will serve as the host for your table?
Hosting Organization
What is the name of the organization hosting the table?
Table Reservation*
Add one reservation per table you wish to obtain.
Price: $400.00 Quantity:
Additional Names
If known, please also provide the names of the additional persons who will be at your table(s).
If you or anyone in your party need to reserve one of the following special meals, please let us know below.
Enter the number of vegetarian, gluten-free lunches to reserve, if any.
Enter the number of vegetarian lunches to reserve, if any.
Enter the number of gluten-free lunches to reserve, if any.
Would you like to contribute to a scholarship for another guest to attend the Summit? Enter the donation amount here:
Photo Release*
- I understand that the New Baptist Covenant may take photos and video during this event, and hereby give permission for the New Baptist Covenant to use any photos that include me in their publications or promotions.
Total
$0.00
Credit Card*

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MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
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