Midland - Great Rep Ring Form

1
Area 5 COVID policy* This field is required.Please download and review the Area 5 COVID Policy. If you are a director, please share this COVID policy with every ringer you are registering.
2
Registration* This field is required.This event is a repertoire reading session and participants will make up the ensemble(s) for this session. You are welcome to register more than one ringer in this form, if bringing multiple members of your choir. You will be asked later in form for the total number of participants.
Individual registation
3
Your Name* This field is required.
First Name
Last Name
4
Email Address* This field is required.
5
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
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The Bahamas
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Belgium
Belize
Benin
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Botswana
Brazil
Brunei
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Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
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Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
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Democratic Republic of the Congo
Denmark
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Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
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Ghana
Gibraltar
Greece
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Guadeloupe
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Hungary
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Indonesia
Iran
Iraq
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Israel
Italy
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Japan
Jersey
Jordan
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Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
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Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
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Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
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Vanuatu
Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Phone Number* This field is required.In case we need to contact you regarding your registration.
7
Your Position TitleIf you want to provide it.
8
Your Church or Organization Name
9
How many ringers are you registering?* This field is required.The fee for this event is $20 per participant. Please let us know how many ringers, including yourself, will be attending.
10
RegistrationTotal
11
Do you want to purchase music packets?Music packets for this event are offered at a discount with event registration for $10.00/ea.
YESNO
12
How many music packets will you need?Pre-ordered music packets with registration are $10.00/ea
13
Music Packet Total
14
Registration TotalRegistrations plus music packets
15

Registration Review - Great Rep Ring

{name},

Here are the details of your registration.

Registrations {howMany} at $20 each $ {registrationtotal}

Music Packets
{howManyTables} - $10 each
${musicPacket}

Total $ {registrationGrandTotal}

{myRegistration}
16
Do you have any additional information you would like to share with the registrar regarding your event registration?
Huge
Large
Normal
Small
Ok
Ok
17
Registration Refund PolicyFull registration amount less $15 per person will be refunded if notification is received by February 21, 2023. No refunds will be given for cancellations received after February 21, 2023. We cannot make exceptions to this policy.
18
Credit Card Receipt Email Address* This field is required.Please confirm the email address to send your credit card receipt
example@example.com
19
This is the amount that will be charged to your credit card
prevnext( X )
Description
USD
Select Quantity
Credit Card
First Name
Last Name
Should be Empty:

Registrations	{howMany} at $20 each	$ {registrationtotal}
Music Packets	{howManyTables} - $10 each	${musicPacket}
Total		$ {registrationGrandTotal}

Registration Review - Great Rep Ring