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ICC Annual Assembly Registration

To register for this conference, please fill out the form below.  There are three options for payment: mail a check (make checks payable to Illinois Conference of Churches.  Address: 1608 W. Church St.  Champaign, IL  61821), pay at the door or pay with PayPal after submitting this form.




Your Name


City State Zip Code


Your Email



Please describe any special meal requirements in the box below

Early-bird special $35 by September 1, after September 1, adult registration is $45 and college students are $10
Pay by mailPay in personPay now with PayPal (click 'Pay Now' button below)