AIM Registration

Use the form below to register delegates for the 2018 State AIM Convention of the Historic First Ecclesiastical Jurisdiction of Virginia being held July 16-20, 2018 at the DoubleTree Hiltonin Williamsburg, Virginia.

Personal Information

First Name:		Last Name:
Address:
City/ST/Zip:
Phone:
Email:

Registration

Please make your registration selection(s).

Adult Ages - 18+ ($50):	T-Shirt and Registration Materials
Teens - Ages 13-17 ($35):	T-Shirt, Lunch and Registration Materials
Children - Ages 4-12 ($25):	T-Shirt, Lunch and Registration Materials
Notes:	If multiple registrants, please insert names and shirt sizes in this field.

Payment Information

CC Type:
CC Number:
Exp Date:		CCV:
Billing Zip:

Order Totals