Membership Checkout Membership Information You have selected the Affiliate Member membership level. Organizations that have similar goals as the Black Ministers Conference can also be represented during the meeting. To show support for the conference an organization may become an Affiliate member. Being an Affiliate member allows an organization to send a representative to the meetings and to coordinate scheduled events with the conference. Affiliate membership is $100 annually. An additional $5 service fee will be charged for purchases using the website. Create an account for the website in the form below by providing a username, password and email address. The price for membership is $105.00 now. Membership expires after 1 Year. Do you have a discount code? Click here to enter your discount code Discount Code Account Information Username Password Show Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here More Information Title First Name Last Name Home Address City State Zip Code (Five Digits) Home Phone Number Cell Phone Number Work Phone Number Work Fax Number Email Address Birthday - Day and Month Wedding Anniversary Church Pastor Name Church Address Church City Church State Church Zip Code (Five Digits) Church Phone Number Church Fax Number Church Email Address Church Website Church_role Senior Pastor Associate Pastor Reverend Minister Other Church Member Count (Please Estimate) Number of Ministers Ministry Focus Date of Church Anniversary Date of Pastoral Anniversary Interests EducationPrisonCommunicationsPoliticalFinanceMembershipHealth and WellnessCounty-wide RevivalRetreatSocial Action and JusticeOutreachMembership DemographicsPastoral and Membership Care Please provide other areas of interest Please share about your Spirital Gifts Please share any of your other skills I agree to the Black Ministers Conference of Montgomery County Terms of Service Check Out With PayPal Processing...