Christ Temple 27th Annual Seekers Convention Registration Form
April 6-9, 2023
Name of Individual or Family Representative
*
First Name
Last Name
Are you traveling with the Coach ?
*
Yes
No
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell Phone
*
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Family/Group Attendees
First Name
Last Name
Gender
Age Range
Birthday
1
Male
Female
Adult (18+)
Youth (13-17)
Children (4-12)
Infant (0-3)
2
Male
Female
Adult (18+)
Youth (13-17)
Children (4-12)
Infant (0-3)
3
Male
Female
Adult (18+)
Youth (13-17)
Children (4-12)
Infant (0-3)
4
Male
Female
Adult (18+)
Youth (13-17)
Children (4-12)
Infant (0-3)
5
Male
Female
Adult (18+)
Youth (13-17)
Children (4-12)
Infant (0-3)
6
Male
Female
Adult (18+)
Youth (13-17)
Children (4-12)
Infant (0-3)
7
Male
Female
Adult (18+)
Youth (13-17)
Children (4-12)
Infant (0-3)
8
Male
Female
Adult (18+)
Youth (13-17)
Children (4-12)
Infant (0-3)
9
Male
Female
Adult (18+)
Youth (13-17)
Children (4-12)
Infant (0-3)
10
Male
Female
Adult (18+)
Youth (13-17)
Children (4-12)
Infant (0-3)
Enter Attendee Information (Including Yourself)
*
Package Information for Seekers Convention
Conference Packages (Covers Meals & Accommodation)
Platinum: Arriving Thursday, Leaving Sunday & Having 8 Meals Including Thursday Dinner Gold: Arriving Thursday, Leaving Sunday & Having 7 Meals, NO Thursday Dinner Silver: Arriving Friday, Leaving Sunday & Having 7 Meals, NO Thursday Dinner
N/A
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Payment Options 1
Paying by Cash in Person
Paying by Check
Paying by Zelle
Payment Options 2 (Extra fee is charged to cover processing fees for these options)
Online at Church Website (Please pay cover fee as calculated)
Paypal (Please pay additional 2.5% to cover fee)
Cashapp (Pls pay additional 2.5 % to cover fee)
Other
Thank you for filling this form. For more information on Packages and Accommodations call Blue Mountain Directly at (570-386-2154) or visit the Seekers Convention Website https://seekersconvention.com/info. For rates head to https://www.bmcr.org/retreat-information/rates/ and call Blue Mountain to book.
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