[un]Apologetic Conference - Participant Registration

Participant Registration

Houston - May 18, 2024
Chinese Baptist Church, 900 Brogden Rd, Houston, TX

El Paso - September 14, 2024
First Baptist Church El Paso, 805 Montana Ave, El Paso, TX

Event ID

Are you affiliated with a church?

YesNo

Church Information

Church City

Church Name

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Church Name

Church City

City ID

Church ID

Today

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Attendee Information

Early Registration (through May 4, 2024)

Student ($25)

Adult ($35)

Regular Registration

Student ($35)

Adult ($45)

Early Registration (through September 4, 2024)

Student ($25)

Adult ($35)

Regular Registration

Student ($35)

Adult ($45)

First Name	Last Name
Email	Cell Phone

Running Total

Payment Page

Discount Code

Discount Calculations

Dollar Discount

Group Discount calculated

Payment Type

Credit Card (3% processing fee applies)eCheckCheck

Registration Summary

Subtotal

$

Total Discounts Applied

$

Total before card fees

$

Credit Card Fees*

$

3% added for credit card processing x

Raw Total

$

Total Amount Due

$

Credit Card Information

Name on Credit Card

Credit Card Number

Credit Card Type

Please select... Visa Mastercard Amex Discover

Credit Card Code

(Card Verification Value)

Expiration Month

Expiration Year

eCheck Information

Bank Name	Name of Account Holder
Bank Routing Number	Bank Account Number

Account Type

CheckingSavingsBusiness Checking

Customer Billing Information

First Name

Last Name

Email

Street Address

City

State

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Postal Code

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