Explosion Church Payment Form

Explosion Church Payment Form

The Registration and pay by date is October 27th.
Church Name: *
Leader/Pastor's Name*

First NameLast Name
Leader/Pastor's Email*
example@example.com
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

My Products*

Students ParticipationThis includes student registration and a shirt. (price includes processing charge.

$46.61 Quantity
Item subtotal:$0.00

Student/Adult SpectatorPrice includes swag, dinner, and lunch.

$26.00 Quantity

Total

$0.00

Signature: By registering above and signing below, you are authorizing the ETNYI to accept payment for the above number of registered students. After this payment is submitted, we will be unable to cancel or change the payment. The ETNYI cannot refund any registration money after December 16, 2020. *

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