Congreso South - Sponsor Registration
SOUTH
Sponsor Registration
Are you a Texas Baptists Staff Member?
Yes
No
Ministry/Company Information
Company/Ministry Name
Address
City
State
Please select...
TX
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
UT
VT
VA
WA
WV
WI
WY
Zip
TXB Internal
TXB Team
TXB Sub-Team
TXB Name
TXB Address
City
TXB State
Please select...
TX
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
UT
VT
VA
WA
WV
WI
WY
Zip
Contact Information
First Name
Contact Last Name
Contact Email
Contact Phone
Sponsorship Level
Platinum ($850)
Meal Sponsor
• Stage time to promote organization during or before meal
• Organization 2min promo video
• Booth with 1 table and 2 chairs
• Bag inserts
• 3 wristbands
Gold ($650)
• Organization 2-minute promo video
• 2-minute stage time to promote organization
• Booth with 1 table and 2 chairs
• Bag inserts
• 3 wristbands
Silver ($450)
• Organization 2-minute promo video
• Booth with 1 table and 2 chairs
• Bag inserts
• 3 wristbands
Bronze ($250)
• Booth with 1 table and 2 chairs
• Bag inserts
• 3 wristbands
Will you need electricity?
Yes
No
Amount Due
$
Sponsor Hidden
Level 1 Capacity
Level 1 Used
Level 1 Calc
Level 2 Capacity
Level 2 Used
Level 2 Calc
Level 3 Capacity
Level 3 Used
Level 3 Calc
Level 4 Capacity
Level 4 used
Level 4 Calc
Level 5 Capacity
Level 5 Used
Level 5 Calc
Payment
Discount Code
Invalid Discount Code
Discount Applied!
Percent Discount
Payment Type
Credit Card (3% processing fee applies)
eCheck
JE (
10-61140-100-270-11182
)
Registration Summary
Subtotal
$
Discounts Applied
$
Total before Fee
$
Credit Card Fee*
$
3% added for credit card processing
x
Total Amount Due
$
Credit Card Information
Name on Credit Card
Credit Card Number
Credit Card Code
Card Verification Value
Expiration Month
Expiration Year
Credit Card Type
Please select...
Visa
Mastercard
Amex
Discover
eCheck Information
Bank Name
Name of Account Holder
Bank Routing Number
Bank Account Number
Account Type
Checking
Savings
Business Checking
Customer Billing Information
First Name
Last Name
Email
Street Address
City
State
Please select...
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Postal Code
Authoirze.Net Hidden
Authnet_Hidden_Fields