3200 Roberts Lane, Lake Worth Fl 33461 Sun 9:00am Creole and 11:30am English

Individual Registration

Please enter information in the form below to process registration for event Christmas Gala 2026 — Together We Build.

First Name *

Last Name *

Church you are from

Address *

Address 2

City *

Zip *

Country *

State

Phone

Email *

Amount

Payment Method

Square Card Payment

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Credit or debit card*

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Salem Community Church of God