Men's Fraternity - Ephrata, PA

Registration Form

All participants must register. Although registration will be conducted at the event, advanced registration is strongly encouraged to help ensure a smooth opening night. You may use the following form to register online.

*Full Name:
Birth Date:
Address:
City/Zip:
*Home Phone:
Cell Phone:
*Email:
*Maritial Status:
Church Attended:
Special Requests:
(If requesting men who you'd like in your group, they must register separatley)

Payment

There is a $20 cost for the workbook that will need paid. You can:

   - Mail a check to 70 Clay School Rd, Ephrata
   - Bring with you the first night
   - Pay online with your credit card

If you want to pay online, register first using the form to the left. You will then be presented with an option to pay online via PayPal.