Conference Registration Form with Payment

Full Name

First NameLast Name

E-mail

example@example.com

Phone Number

Format: (000) 000-0000.

Number of people attending

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Conference

Conference Relation

Church You are Serving

Seminary Name if Current Seminarian

Airport

Flight Information (Airline)

Arrival Date

Date

Arrival Time

Hour Minutes

AM/PM Option

Departure Date

Date

Departure Time

Hour Minutes

AM/PM Option

Spouse Name

First NameLast Name

Child 1 Name

First NameLast Name

Child 1 Age

Child 2 Name

First NameLast Name

Child 2 Age

Child 3 Name

First NameLast Name

Child 3 Age

I would like to help

Other

I can help in

Select option

Gathering Registration with Roommate

Includes meals and shared gathering spaces. Lodging with a roommate.

$225.00

Gathering Registration with single room

Includes meals and shared gathering spaces. Lodging alone

$275.00

Gathering Family Registration (2 adults)

Includes meals and shared gathering spaces. Lodging with family.

$375.00 Quantity

Children Registration

Includes food

Free Quantity

Gathering Commuter Registration

Includes food and Gathering material

$115.00 Quantity

Seminarian Rate (Include Hotel)

$150.00 Quantity

Seminarian Rate (Commuter)

$50.00 Quantity

Total

Credit Card

If you plan to share a room with a roommate, please confirm with the person first and let us know their name after confirmation. Please note that we do not assign roommates.

SEJ AAMA Gathering Registration

Flight Information (skip of not applicable)

Family information (skip if not applicable)

How to serve while at SEJ Conference

Payment Selection

Select option

Credit Card