2023 CoMo Christian Men's Conference Scholarship Request Form

To request a scholarship ticket, please complete the form below:

1. What is Your Name?

2. Are you requesting a scholarship ticket for yourself or another person?

3. What is your Email Address?

4. What is the best phone number to reach you?

5. What address would you like these tickets mailed to? (please provide complete address)

6. If you are affiliated with a local church or faith-based organizaton, please include that information in this space:

7. Please use the space below to share any comments or questions with the Conference organizer, Fred Parry: