American Baptist Churches of Pennsylvania and Delaware

2017 ABWM Conference On-line Registration Form



Please fill out the entire form. Each person, whether you register as an individual or in a group must complete a registration form. If the form question does not apply to you simply select "No". Once you select "Submit" the completed form will be emailed to Jodie Vasbinder and Susan Mahserjian-Smith. You will return to a thank you page that includes a link to our on-line payment feature. If you choose not to submit an on-line payment you will be expected to make payment by check prior to coming to the Conference. 

If you have questions you can contact:

Registrar:  Jodie Vasbinder
email:  ABWMOPADREGIONREGISTRAR@gmail.com
Phone:  814-845-2355

or 

Treasurer:  Susan Mahserjian-Smith
email:  susan@mahserjian-smith.com
phone:  570-419-1701 (cell) 

Price Increases After June 1, 2017
& July 1, 2017

2017 Conference Registration Form (pdf)
2017 Conference Workshops

Important Note: Please remember to keep track of total payment due as you fill out this form so you can make an accurate payment via our on-line payment feature. Select "Give Now" from the choices on the On-line Payment Web Page. Fill out the form and select 2017  ABWM Conference from the categories list. Then make a one time payment for the complete cost of your Conference event participation.

Make an On-line Payment

Contact Registrar for scholarship availability. 

  • First 40, First Time Conferees are eligible for a $50 Scholarship.
  • First 10, First Time Female Pastor or First Time Pastor's Wife are eligible for a full Scholarship.  

First Name * Required
Last Name * Required
Title
Name Tag Name
Address
City
State
Zip Code
Email Address * Required
Phone Number
Cell Phone Number
Church (Church name and city)
Association
Are you a female pastor?
Are you a pastor's wife?
Is this your first Conference
Who invited you
Age
Payment Method
Do you need a handicapped accessible room?
Explain Need for handicap room?
Do you have special dietary needs

Roommate Choice
I require late check in (after 6:00 pm)
If you need a late check in what is your arrival time?
Full Time Participant

Select one appropriate fee.

Select Private Room if you want
to have single room.
Part Time Participant
Conference Registration & University
Fees are payable by all conferees
and are already included in full time cost.


Conference Registration
    (Required) $45.00

Additional Cost
Thursday Night Lodging
Workshop Session A (Sat. 1:00 pm) 1st choice
Workshop Session A (Sat. 1:00 pm) 2nd choice
Workshop Session B (Sat. 2:45 pm) 1st choice
Workshop Session B (Sat. 2:45 pm) 2nd choice
AB Girls Only:  Sponsor on Campus
AB Girls Only:  Tee Shirt Size
AB Girls Only:  Workshop Choice Session A:

Please validate by entering the text from the image below into the provided field.
YOU WILL THEN BE ABLE TO CLICK THE SEND BUTTON TO SUBMIT YOUR FORM.