Lady D. Cotton Ministries

Title:

Mr.
Mrs.
Ms.
Dr.
Pastor
Apostle
Other

Date

Full Name

Address

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Full Conference Registration Includes: Friday evening service; Saturday- Morning Glory, Breakout Sessions (including lunch), Banquet; Sunday service; and Conference Swag Bag.

Please check the appropriate box.

Full Registration $99 (everything included)
Sessions Only $59
Banquet Only $45

Please select form of payment.

Cash
Check or money order (made payable to LDCM)
Credit Card (CC pymts are done via phone or PayPal link below. There is a fee when paying electronically).

For more info call 478-227-5592 or 404-599-4660

First and last name

Company Name

Company Address

Work Phone

Cell Phone

Email address

Please select number of days to sell.

1 Day vendor $30
3 Days vendor $75

Please select form of payment

Cash
Credit Card (CC pymts are done via phone or PayPal link below. There is a fee when paying electronically).
Check or money order (made payable to LDCM)