Parent Body Registration

Connecticut State Missionary Baptist Convention

Reverend Dr. Boise Kimber, President
120th Annual Session

Parent Body Registration Form

Complete this form to register for the annual convention, or you may print and return the registration form (PDF) by mail or fax if you prefer.

Church Name*
Church Address*
Street Address Address Line 2 City State ZIP Code
Pastor*
Email*
Telephone No.*
Select Association
Amount*
Total
$0.00
Payment Method
Make Checks Payable To:

CSMBC

P.O. Box 101
Norwalk, CT 06852

If you have any questions, please contact us at 203.838.5715.
Please call us to make payment arrangements at 203.838.5715
Billing Address*
Street Address Address Line 2 City State ZIP Code
Credit Card
Card Details
Cardholder Name
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Name
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