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Youth
Home
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Leadership
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Online Registration
Sponsorship Packages
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Download PDF Registration Form
Youth
IPC FAMILY CONFERENCE 2019
Online Registration
Please enter information in the form below to process registration for event
Sponsorship Packages
.
SPONSORSHIP PACKAGES
Sponsorship Packages
*
--Select--
Mega Sponser - $5,000
Platinum Sponsor - $3,000
Diamond Sponsor - $2,500
Gold Sponsor - $2,000
Silver Sponsor - $1,500
General Sponsor - $1,000
Individual Sponsor - $750
ENTER PRIMARY REGISTRANT INFORMATION
Title
*
--Select--
Mr.
Mrs.
Ms.
Pr.
Rev.
Dr.
Gender
*
--Select--
Male
Female
First Name
*
Last Name
*
Email
*
Mobile #
*
Church Name
Address1
*
City
*
State
*
Zip
Airport Pickup/Dropoff?
*
--Select--
NO
YES
I don't know yet
Airport?
*
--Select--
MCO-Orlando International Airport
Arrival Airline
*
Arrival Date
*
Arrival Time
*
Other Registrants
Registrants Food Allergies
Registrants Disabilities
Names of Kids ages 3 or younger
Comments
Payment Information
Amount
$
Payment processing fee
$
Gross amount
$
Payment Method
*
Check Payment / Offline Payment
Credit Card / Debit Card / PayPal (3% Payment Processing Fee will be added )
Billing Zipcode
*
Credit Card Number
*
Expiration Date
*
01
02
03
04
05
06
07
08
09
10
11
12
/
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
Card (CVV) Code
*
Card Type
*
Visa
MasterCard
Discover
American Express
Card Holder Name
*
By registering for this event, I accept
Terms and Conditions