Conclave Participant Registration

Participant Registration

Do you plan to register your senior pastor?

YesNo

FREE Senior Pastor Registration!
Upon completion of this registration, you will receive instructions on how to register your senior pastor for free.

Church/Organization Information

First, please select the city where your church or organization is located then, search for the name of your church/organization. If you don't see the name in the list, select the "My church/organization is not listed" checkbox.

Search for city

Search for name

My church/organization is not listed.

Enter church/organization name

Enter church/organization city

Hidden: IDs

City ID

Church ID

Participant Information

Registration

First Name

Last Name

Email address

Cell Phone

Ministry Position

What age group(s) does this person primarily work with (check all that apply)?

ChildrenTeenagersCollege/Young AdultsParents/Grandparents

Does this person have any food allergies?

YesNo

Please specify their food allergies. (We will do our best to accommodate.)

Hidden: Counts & Discounts

Count

Hidden: Individual Amounts

Date Discount Amount

Code Amounts

Full (100%)

Quarter (25%)

Half (50%)

Student ($100)

MHD ($20)

Volume Only Discount Calculations

Volume percent

Volume discount amount

Volume Registration Amount

Code Only Discount Calculations

Code Discount Amount

Code Registration Amount

Total Individual Discount - Sum of Volume and Code Discount

Individual Registration Amount

Hidden: Group Totals

Total Count

Volume Count

Subtotal (no additional discounts)

All Discounts (volume and code/person)

Total (with all discounts)

Payment

Discount(s) Applied?

Scholarship Code

Valid Code

Invalid Code

Select your payment method:

Credit CardeCheck

Registration Summary

Subtotal

Discounts Applied

Credit Card Fee

Total Due

Net Amount

Offline Payment

Check

Credit Card Information

Name on Card

Credit Card Number

Security Code

Expiration Month

Expiration Year

eCheck Information

Bank Name

Name of Account Holder

Bank Routing Number

Bank Account Number

Account Type

Checking

Savings

Business Checking

Contact/Billing Information

First Name

Last Name

Address

City

State

Zip Code

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