Congreso South 2024 - Participant Registration
SOUTH
Participant Registration
August 2-3, 2024
Church Information
Church City
Church Name
My church is not in the list
Church Name
Church City
City ID
Church ID
Today
I am registering my...
Church group
Senior pastor only
Church group + Senior pastor
Senior Pastor Information
Registration ($15)
Regular Registration ($20)
Does not include a t-shirt
First Name
Last Name
Email
Cell Phone
I am a...
Senior Pastor
T-shirt size
Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
Special Promo
Promo Code
$5 Promo discount applied!
Invalid code
Promo Discount
Attendee Information
Registration ($15)
Regular Registration ($20)
Does not include a t-shirt
Price
$
First Name
Last Name
Email
Cell Phone
I am a...
Student (6th grade and up)
Child (5th grade and under)
Group Leader
Pastor
Grade/Level of Study
6
7
8
9
10
11
12
Undergraduate
Graduate
T-shirt size
Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
Payment Page
Senior Pastor Discount Code
Discount Code
Discount Calculations
Dollar Discount
Percent Discount calculated
Percent Discount
Individual Price
Individual Discounted Price
Staff Validation
Cash payment
Cash
Payment Type
Credit Card (3% processing fee applies)
eCheck
Registration Summary
Senior Pastor Registration
$
Group Registration
$
Subtotal
$
Senior Pastor Discount
$
Group Discount
$
Total Discounts Applied
$
Total before card fees
$
Credit Card Fees*
$
3% added for credit card processing
x
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
Checking
Savings
Business Checking
Receipt Email (registration confirmation will be sent to this address)
Customer Billing Information
First Name
Last Name
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
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