Black Methodists for Church Renewal,Inc.
Friday, September 10, 2010

ONLINE REGISTRATION FORM

Black Methodists for Church Renewal, Inc.
43rd Annual Meeting - March 24-26, 2010 - Jacksonville FL

Early registration deadline - January 20, 2010
Online and mail-in registration deadline - February 28, 2010, after this date, register onsite only.

 

Click here for a printable version of this form>>

*Each registration will include 1 (one) Banquet ticket, additional tickets can be purchased in the form below.

You must be registered with a 2010 paid membership to vote at the annual meeting.
 
Bishop    Rev.    Dr.    Mr.    Mrs.    Ms.
 
Name    Phone
 
Address
 
City    State    Zip
 
Jurisdiction    Annual Conference
 
Email (required)
 
This is my  1st   2nd   National BMCR Annual Meeting
 
 BMCR CHOIR: I am interested in singing/performing (bring your instrument)
 
I am volunteering to usher on:
Wednesday night    Thursday morning    Friday morning
 
I require special needs:
Language Translation/Hearing Impaired
Special dietary needs - specify (i.e. "vegetarian"):
Other
 

Registration Fees:
Early Registration [through Jan. 20, 2010]
Registration includes Registration fee, National Membership fee and Banquet ticket
Adult $220 Sr. Retired $185 Student $135 Associate $135
EARLY REGISTRATION FOR HARRY HOSIER, LIFE OR CENTURY MEMBERS
Adult $170, Sr. Retired $135, Student $110
 
General Registration [through Feb. 19, 2010]
Registration includes Registration fee, National Membership fee and Banquet ticket
Adult $260 Sr. Retired $220 Student $160 Associate $160
GENERAL REGISTRATION FOR HARRY HOSIER, LIFE OR CENTURY MEMBERS
Adult $210, Sr. Retired $170, Student $135
 
Late Registration AFTER February 19, 2010 (must be received by February 28, 2010)
Registration includes Registration fee, National Membership fee and Banquet ticket
Adult $310 Sr. Retired $260 Student $185 Associate $185
LATE REGISTRATION FOR HARRY HOSIER, LIFE OR CENTURY MEMBERS
Adult $260, Sr. Retired $210, Student $160
 
Registration Type:
Adult Standard
Adult Hosier, Life, Century (name must be on file with BMCR office)
Sr. Retired Standard
Sr. Retired Hosier, Life, Century (name must be on file with BMCR office)
Student Standard
Student Hosier, Life, Century (name must be on file with BMCR office)
Associate Standard
 
Memberships:
If you would like to begin paying toward your Century, Life, or Harry Hosier membership you'll have the option to make a payment toward your membership dues along with your registration once you have submitted this form.
 
Membership Options:
National (Sustaining, Voting) $50
Student (Voting) $25
Associate (Non-Black) $25
Century (Voting) $750 (Pay in 5 consecutive yearly increments of $150)
Life (Voting) $1,500 (Pay in 5 consecutive yearly increments of $300)
Hosier (Voting) $2,500 (Pay in 5 consecutive yearly increments of $500)
 
I am a  Hosier   Life   Century  member.  Names of Hosier, Life and Century members must be on file in the National BMCR office. Please contact the BMCR office if you need to confirm Century, Life and Hosier Membership registrations.
 
Extra Tickets:
Extra tickets can be purchased along with payment of registration AFTER this form has been submitted.
  • Black College Fund Luncheon $35
  • Gammon Breakfast $30
  • Laity Luncheon $30
  • Garrett Breakfast $30
  • Banquet $65 (1 banquet ticket is included with registration)
BMCR Bible:
You will be able to pre-purchase your copy of the BMCR Bible for $20 along with payment of registration AFTER this form has been submitted (look for link on registration and extra ticket store items).
 
CANCELLATIONS/REFUNDS: All cancellation notices and requests for refunds must be made in writing from the registered person.  We will accept cancellations, with documentation, due to medical issues or death of an immediate family member.  For canceling 30 days before meeting date, $50 will be deducted from the total cost; less than 30 days before meeting date: $100 will be deducted from the total cost.  No refunds will be honored during or after the meeting.  If you need to cancel, your existing fees may be transferred to those of another attendee who is not already registered.
 
Registrations may not be mailed or processed online after 2/28/10.  Registrations after 2/28/10 must be done on-site in Jacksonville.
 
Payment Options:
  • Print this form BEFORE clicking "submit" in order to mail it in with your check payment.
  • Proceed with submission and pay online via electronic check or credit card.