2023 Convention Registration National Black Evangelical Association60th Convention & Celebration – Chicago, IL Today's Date (YYYY-MM-DD)(required) Title(required) Mr. Mrs. Ms. Rev. Eld. Min. Evang. Dr. Name(required) Organization/Church/College/High School(required) Primary Address(required) Address Line 2 City/State/Zip(required) Home Phone Cell Phone Email(required) Convention Role(required) Participant Speaker/Panelist Workshop Leader Musician Local Committee Volunteer Arrival Date (YYYY-MM-DD)(required) Departure Date (YYYY-MM-DD)(required) Staying at DoubleTree Hotel Friday?(required) Yes No Staying at DoubleTree Hotel Saturday?(required) Yes No To reserve a room at the Host Hotel, please contact:DoubleTree by Hilton Chicago Midway Airport6624 S. Cicero AvenueChicago, IL 60638(708) 563-6490 Registration Fee: $60.00 Select Your Payment Method:(required) CashApp ($TheNBEA) Zelle (nbea1963@gmail.com) Paypal (Yellow donate button at the bottom left corner of this page) CashApp: $TheNBEA Zelle: nbea1963@gmail.com To submit an electronic payment via PayPal, click the yellow “Donate” button at the bottom left corner of this page. Other Payment Option Membership Fee (optional) Individual $30.00 Couple $50.00 Organization $100.00 Business $300.00 You may also send check or money order payable to “NBEA” and mail to:NBEAP.O. Box 4311Chicago, IL 60680-4311For additional information, call Dr. Ruth Bentley at (312) 933-3111 Submit
