Conference Registration

Fill out the form below to register online for the upcoming Impact for Living Men's Conference to be held at Idlewild Baptist Church, Lutz, Florida. (For more information about this conference, visit our Current Conference Details page.)

After filling out your information on this page, you will be redirected to our secure PayPal page, where you can make your payment using your credit card or PayPal account. Please bring a copy of your PayPal receipt to the conference as proof of registration. It will serve as your “Admission Ticket” at the door.

Early-bird pricing for this conference is $39 per person (through September 10th).

*Name:
*Address:
*Email Address:
*Phone Number:
How did you hear about this conference?:
Please enter the name associated with the credit card or PayPal account if it is different from the registrant's name above:
Number of additional guest registrations**:
To protect us from receiving spam submissions, please enter the security code you see in the image to the right.	*Security Code:

*Required Fields

**Guest registrations are in addition to your registration.

If you prefer to register in person, please bring your check, payable to Impact for Living, to the Guest Registration Counter at Idlewild Baptist Church, Lutz, FL 33548.