Registrant Information:
First Name:
Last Name:
Preferred Badge Name:

E-Mail:

Street Address:
City:
State:
Zip/ Postal Code:
Home Phone: Cell Phone:
Proper format (xxx)xxx-xxxx

Church (Church & City) :

Registration Category: (choose one)

Clergy (CR) Deputy Alternate General Registrant

Partial Weekend Registration Rates: (choose one)

Partial Weekend Registration: These rates do not include accommodations.
Select one radio button that corresponds with the day(s) and enter the amount that corresponds with correct fee category at the bottom of the page, and hit submit to finalize registration and enter credit card information using our secure payment option.

Friday only:
$45.00 Friday Adult
$54.00 Friday Adult with lunch

Friday and Saturday:
$105.00 Fri/Sat Adult
$114.00 Fri/Sat Adult with Friday lunch

Friday, Saturday and Sunday:
$150.00 Fri/Sat/Sun Adult
$159.00 Fri/Sat/Sun Adult with Friday lunch

Saturday Only:
$60.00 Saturday Adult
$18.00 Saturday Adult Ordination Dinner ONLY

Saturday and Sunday:
$105.00 Sat/Sun Adult

Sunday Only:
$45.00 Sunday Adult

Total Amount: Please do not enter a dollar sign
(If you would like to add a donation to your registration fees, you may add the dollar amount here and make a notation in the comments. Otherwise, use the link at the top of the page. Thank you.)

I would like to Volunteer at Convention:
Pre-Convention Preparation, Vacation Bible School, Usher, Greeter, Child Care
Write your top two choices on this line:

Child Care:
I/We will be bringing a child under 5 and will need child care.

Credit Cards: We accept most major credit cards.
Hit the SUBMIT button to enter your credit card information

To Register hit and fill in your credit card information with our secure payment option

Before hitting submit, please print for your records.

HOW TO REGISTER:
Everyone coming to any part of convention must fill out a form
(either Adult or Youth form) ONLY PREPAID RESERVATIONS WILL BE ACCEPTED.
DUE BY NOON, June 2, 2010. NO REFUNDS AFTER June 7, 2010.