Online Registration

Please enter information in the form below to process registration for event Sponsorship Packages.

SPONSORSHIP PACKAGES

Sponsorship Packages *

Total Registrants -Sponsorship *

Days Attending *

Additional Food - No. of Adults *

ENTER PRIMARY REGISTRANT INFORMATION

Title *

Registrant 1 Gender *

Registrant 1 Full Name *

Email *

Mobile # *

Registrant 1 Age *

Church Name

Address1 *

City *

State *

Zip

Airport Pickup/Dropoff? *

Airport? *

Arrival Airline *

Arrival Date *

Arrival Time *

INFORMATION ABOUT THE OTHER REGISTRANTS

RegistrantS2 Full Name *

RegistrantS2 Gender *

RegistrantS2 Age *

RegistrantS3 Full Name *

RegistrantS3 Gender *

RegistrantS3 Age *

RegistrantS4 Full Name *

RegistrantS4 Gender *

RegistrantS4 Age *

RegistrantS5 Full Name *

RegistrantS5 Gender *

RegistrantS5 Age *

Comments

RegistrantS6 Full Name *

RegistrantS6 Gender *

RegistrantS6 Age *

Registrants Food Allergies

Registrants Disabilities

Names of Kids ages 3 or younger

Do you need rooms for the days BEFORE and AFTER the conference *

Select Days *

July 22nd Night (Mon, $105)

July 23rd Night (Tue, $105)

July 24th Night (Wed, $105)

July 28th Night (Sun, $105)

July 29th Night (Mon, $105)

July 30th Night (Tue, $105)

Additional Donation

No of Additional Rooms *

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*

Card (CVV) Code*

Card Type*

Card Holder Name*

By registering for this event, I accept Terms and Conditions