Event Registration Form
Creation Museum/Ark Encounter Christmas Tour
Attendee Information
Please fill name and contact information of attendees.
Your Name
*
Mr.
Mrs.
Miss.
Mr.&Mrs.
Prefix
First Name
Last Name
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Will you have a guest with you?
Yes
No
Guest Name
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Choose your Room Type
*
Double Occupancy $440/ per person
Single Occupancy $550/per person
Registration Payment (minimum of $50 required to hold reservation)
*
I will call my credit card payment in to 1-800-264-5550
I will mail in a check to PO Box 370 Haubstadt IN 47639
I will make a secure online credit card payment now
Please verify that you are human
*
Submit
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