Cooperative Baptist Fellowship's 2012 General Assembly. Pre-register now for free!

*First Name:

*Last Name:

Spouse's First Name (if applicable):

Spouse's Last Name (if applicable):

Will your spouse attend General Assembly?:

YesNo

*Your Address:

Address 2:

*City:

*State:

*Zip:

*Email:

Home Phone:

Work Phone:

Would you like to receive more information about CBF ministries? Select below to subscribe to our free publications (hold CTRL key to select both options):

To help us plan the best Assembly experience possible, please answer the following questions:

Is this your first General Assembly?:

YesNo

Which CBF mission community most interests you?:

Member of (church name):

Church City:

Church State:

Are you on staff at church? If so, please type in your position:

Is your spouse on staff at church? If so, please type his/her position:

Birthdate:

Gender:

MaleFemale

I am:

LaityExhibitorOrdained MinisterOrdained Deacon

If an exhibitor, please enter your company, school, or organization name:

Highest Degree:

Graduate of:

Year:

Laity: Please tell us how you serve in your local church: (Check all that apply):

Present Deacon ChairSunday School TeacherMissions EducatorCommittee Member

If Sunday School teacher, please enter age range:

If committee member, please specify which committee:

General Assembly 2012 Pre-Registration