The Anchor Church Summit The Anchor Church Summit Dr. Paul Nixon, Director of Church Multiplication with Discipleship Ministries will be leading the summit along with excellent ministry practitioners from North Carolina and beyond. (This form should be submitted by the lead pastor of the Anchor Church Summit team.) Name*Please enter your preferred name. First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Please enter your best contact number.Email*Please enter a valid email address. We will send follow-up information to this account. Enter Email Confirm Email Conference*Please choose your conference from the list below.-- Select Your Conference --Alabama / West FloridaBaltimore-WashingtonEastern PennsylvaniaFloridaGreater New JerseyHolstonKentuckyMemphisMississippiNew EnglandNew YorkNorth AlabamaNorth CarolinaNorth GeorgiaPeninsula-DelawareRed Bird MissionarySouth CarolinaSouth GeorgiaSusquehannaTennesseeUpper New YorkVirginiaWest VirginiaWestern North CarolinaWestern PennsylvaniaOther DenominationOther JurisdictionDistrict*In which district are you located?-- Select Your District --BeaconCapitalCorridorFairwayGatewayHarborHeritageSoundChurch Name*Let us know your church name. If you do not have a church, please put N/A.Team Members*Enter the names of your team members that will be attending (lead pastor, site pastor, lay leaders). Click the (+) sign to add additional team members.First NameLast NameTitleEmail Address AllergiesSeveral meals will be provided during this event. Please list any food allergies you have. The Anchor Church Summit (NC Conference)*Please mail your payment to New Faith Communities c/o Jill Murphy 700 Waterfield Ridge Place, Garner, NC 27529. Price: $1,500.00 The Anchor Church Summit (Other Conference)*Please mail your payment to New Faith Communities c/o Jill Murphy 700 Waterfield Ridge Place, Garner, NC 27529. Price: $2,695.00 Total $0.00 NameThis field is for validation purposes and should be left unchanged.