Test Forms Name(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code Event registration: Quantity Price: $30.00 Quantity I will pay for the event registration: Online now ($30) At the door upon arrival ($40) Dietary Restrictions: Donate a ticket to someone else: Quantity Price: $30.00 Quantity Donate to the Oglesby Endowed Scholarship:Offerings will also be taken during the Worship event. Contribute to the Black Alumni Association: Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Total CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
