EA 16x16 Challenge Registration form

Registration form
Run or walk for 16 days across 16 fields in East Asia to support needs among marginalized communities in these fields. You can pray while you are walking and running.

Dates: May 1st - May 16th

Registration fee: Min. USD 10*

* Registration fee only applies for those that join in running/walking (joining in prayer is free)
Participants can voluntarily choose a higher registration fee, excess money will be used to support projects in the area
Medal is included in registration fee (NOT included for those that join only in prayer)
Registrants on or after 15th of April are not guaranteed a medal
E-mail address: *
example@example.com
Name *

First Name Last Name
We ask for your phone number because we will connect, and share prayer points during the event through the messaging app "Signal". Available in your app store or through https://signal.org/en/ . The app is free and secure
Phone number *

Country Code Phone number
Country of Residence:
I want to participate in: *

Running/Walking (min fee of USD 10 applies) Prayer
I want to pay through *
Creditcard
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Standard registration fee Your registration fee will support needs among marginalized communities
$ 10.00

Registration fee + USD 15 donation Registration fee + extra USD 15 donation
$ 25.00

Registration fee + USD 40 donation Registration fee + extra USD 40 donation
$ 50.00

Registration fee + USD 90 donation Registration fee + extra USD 90 donation
$ 100.00

50% Reduction on registration fee I want to apply for a 50% sponsorship of my registration fee due to financial challenges
$ 5.00

Total

$ 0.00
Registration options
Please select the registration option below *

Standard registration (USD 10) Registration fee (USD 10) + USD 15 donation Registration fee (USD 10) + USD 40 donation Registration fee (USD 10) + USD 90 donation 50% reduction on registration fee (USD 5) (only in case of financial challenges)
OM costcentre

If you have an OM costcentre, please sent and e-mail to your local finance team, (with a copy to EastAsiaArea+R4TW@gmail.com), requesting to transfer the selected amount from your personal costcentre to 9100 R4TW.

Paypal

Please transfer the selected amount to the following PayPal account: EastAsiaArea+R4TW@gmail.com.
*

I am aware that my registration is only valid after the payment is succesfully completed and I have received a confirmation e-mail
Prayer
I confirm my registration and am aware that no medal is included in my registration
Any other comments
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Registration form

Creditcard

Registration options

Prayer