Eastern North America Leadership Gathering Mar. 19-22- Registration
Please fill in the form below. We'll contact you as soon as possible.
Full Name
*
First Name
Last Name
Spouse's Name, if attending
First Name
Last Name
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell or Phone
*
-
Area Code
Phone Number
E-mail
*
Base or Ministry
Mode of Arrival
Car
Van with others
Flight (pick up not available)
You are responsible for your own transportation to and from conference
Choice of Room
$212.00 each in 6 person rm
$223.00 each in 5 person rm
$232.00 each in 4 person rm
$244.00 each in 3 person rm
$277.00 each in 2 person rm
$333.00 1 person rm
Prices are per person with conference and meals included
Staying Offsite
With Meals $83.00
No Meals $62.00
Conference included
I will attend:
Full Gathering
One Night
Two Nights
Other
Payment options
Check or Cash on arrival (Skip to Submit Form)
Mail in Payment (Skip to Submit Form)
Paypal
Pay Now by Pay Pal
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Conference With Lodging and Meals
$
554.00
YWAMers per room
Married Couple
6 YWAMers per room
5 YWAMers per room
4 YWAMers per room
3 YWAMers per room
2 YWAMers per room
Only you, single room
Conference with offsite lodging
$
83.00
Meal preference
Lunch and Dinner
No Meals
Total
$
0.00
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