D.I.V.A.S. Women’s Ministry (Dedicated, Inspiring, Victorious, & Anointed to Serve) 1st Annual Women’s Conference “TOTAL WOMAN: SPIRIT, MIND & BODY” “Beloved, I wish above all things that thou mayest prosper and be in health, even as thy soul prospereth” REGISTRATION FORM SATURDAY, NOVEMBER 2, 2013 – 9:00 am – 2:00 pm Full Name: _______________________________________________ (First name for badge)____________________________ Church Affiliation/Organization: _____________________________________________________________________________ Preferred Mailing Address:__________________________________________________________________________________ City: ________________________________ State/Province: ______________________ Zip/Postal Code: _________________ Country: _____________________________ Telephone: (______)__________________ Fax: (______)____________________ Email: __________________________________________________________________ REGISTRATION FEE $10 KEYNOTE SPEAKER: REV. DR. MARY MOSS St. Alma Baptist Church GUEST SPEAKERS: DR. BETTY KENNEDY Shiloh Missionary Baptist Church MINISTER KIARA BYNUM Nazarene Baptist Church SIS. CANDANCE RUSSELL New Gideon Baptist Church PAYMENT METHOD Check or Money Order must be in U.S. funds payable to: New Gideon Baptist Church. Please check appropriate box:  Check  Money Order  Cash  VISA  MasterCard (accepted on-site) _____________________________________________________________________________________________________________________ Please mail or fax completed registration form with payment to: Phone: (225) 926-4441 FAX: (225) 926-4163 Email: pjohnson@ngbc.brcoxmail.com Do not email credit card information because security cannot be guaranteed. New Gideon Baptist Church Attn: Conference Coordinator 2542 Balis Drive Baton Rouge, LA 70808