ICON Registration Form with Payment

Convocation Registration

August 1–2, 2025 · Eden Church, Auckland
Full Name*

First NameLast Name
E-mail*
example@example.com
Date of Birth*

DayMonthYear
Date
Mobile Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.

Tickets*

Adult

Includes dinner Friday and lunch Saturday

$75.00NZD

Student or Senior

Includes dinner Friday and lunch Saturday

$60.00NZD

Enter coupon

Total

$0.00NZD

Dietary Requirements
Let us know what, if any, dietary requirements you have (e.g., gluten-free, vegan).
Special Requests
Let us know if you have any special requests (non-dietary).
NOTE: You may pay by credit card. To pay by credit card, simply click the PayPal Checkout button below. It will then take you to a payment gateway, where you have the option of paying by credit card.

Some users are experiencing a technical issue with the form. If you find the bottom of the form cut off, click the black "Debit or Credit Card" button twice and that should resolve it. Any further issues, contact Richard on richard@pathways.ac.nz.
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

Convocation Registration