| Once you have completed the following form, we will mail you a confirmation with payment instructions. Payment will be required within 10 days of receipt or your reservation will be cancelled. Please contact Montreat Central - (800) 572-2257, ext. 339 if you have any questions. |
| Online registration is available for residents of US and Canada only. |
| First Name * |
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| Last Name * |
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| Name for Name Tag * |
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| Address * |
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| City * |
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| State/Province * |
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| Zip * |
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| Country * |
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| Home Phone * |
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| Work Phone |
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| Email * |
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| Add me to your E-News list! Because of spam blocking, please add merrib@montreat.org to your address book |
| Local Church |
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| Church PIN Number
(available at your church office) |
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| Presbytery * |
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| Emergency Contact Name * |
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| Emergency Contact Phone * |
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| This is my first Montreat conference * |
Yes No |
Conference Information |
| March 31-April 2
(FULL – space still available for September 22-24)
September 22-24
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Conference Week Attending
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Number of Participants ($185.00 conference fee plus $225.00 materials fee required per person) |
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Add $25 if registering after February 18/August 11 |
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I plan to attend the Pre-Conference Workshop (no additional charge) |
Housing and Meals Information |
I have arranged other housing |
| I will be staying at |
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| The phone number there is |
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I want to register for housing and meals |
Package rates for Assembly Inn are per person and include all room/meal charges (Monday lunch - Wednesday lunch) for the entire conference. No adjustments will be made, except for extended stay. No room charge for children under 12 years of age in the same room with two parents. If only one parent is present, parent must pay the single occupancy rate. Rollaway is an additional charge of $10.00 per day. Meal cost for the entire conference for each child 5-11 is $33.75. No meal cost for children under 5. (Child Care is not available for this conference.)
Housing and meal balance will be due on or before February 18/August 11. If registering after February 18/August 11, total will be due upon receipt of written confirmation. |
| Please Reserve This Many Rooms |
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| Assembly Inn |
Single occupancy, Private Bath: $244.00
Double occupancy, Private Bath: $166.00 per person
Single occupancy, Connecting Bath: $206.00
Double occupancy, Connecting Bath: $156.00 per person |
| Total Number of Adults |
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| Total Number of Children age 12 and up |
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| Total Number of Children age 5-11 |
$33.75 per child for meals |
| Total Number of Children under age 5 |
no charge |
| I will need a crib |
complimentary |
| I will need a rollaway |
$10.00 extra |
| I would like a |
Male Roommate
Female Roommate |
| Note: If a roommate cannot be assigned, you will be responsible for the single rate |
| ...or I would like to room with |
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| Arrival Date |
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| Departure Date |
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Payment Information |
| I understand I will be receiving a confirmation and the above amount will be due within 10 days of receipt or my reservation will be cancelled. |
Other Information |
| How did you hear about this conference? |
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| Please specify if you selected "newspaper/magazine" or "other" |
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| Special Requests or Questions: |
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| If you do not receive an online confirmation screen when you hit "Submit", your registration did not go through. If this happens, please e-mail: webmaster@montreat.org |