60th Convention DC

60th Annual National SCLC Convention

Full Name*

PrefixFirst NameLast Name

Organization/ Business

Names of Additional Guest

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Phone Number*

Area CodePhone Number

Individual Packages (Price are subject to change)

60th Convention Patron ( All acess to events and preferred seating at all venues)$225.00

Quantity

General Registration$75.00

Quantity

Women's Luncheon$50.00

Quantity

Prayer Breakfast$35.00

Quantity

Gospel Tribute$30.00

Quantity

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Enter the message as it's shown*