| Once you have completed the following form, we will email 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 *
Your confirmation will be emailed to this address unless otherwise specified. |
I prefer to receive my confirmation via U.S. mail. |
| Local Church |
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| Church PIN Number |
Look up your PIN number |
| 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 & Workshop Information |
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Number of Participants ($195.00 conference fee required per person) |
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Community Services Fee for the Town of Montreat ($4.00 per person required) |
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Deduct $50 if you are a registered APCE member |
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Add $25 if registering after April 12 |
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Add $75 if registering for the extended course |
| You may register for three morning workshops and two afternoon workshops. Please see detailed conference information for workshop descriptions. We assign workshops on a first-come, first served basis. NOTE: We reserve the right to cancel a workshop based on projected attendance. |
| Morning Workshops: |
| Tuesday 1st Choice |
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| Tuesday Alternate |
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| Wednesday 1st Choice |
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| Wednesday Alternate |
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| Thursday 1st Choice |
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| Thursday Alternate |
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| Afternoon Workshops: |
| Tuesday 1st Choice |
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| Tuesday Alternate |
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| Thursday 1st Choice |
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| Thursday Alternate |
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| Extended Course: |
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Check here if registering for the extended course
If you take the Extended Course, do not sign up for any other workshops. |
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 & Winsborough are per person and include all room/meal charges (Monday supper-Friday breakfast) 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 $53.25. No meal cost for children under 5.
Housing and meal balance will be due on or before April 12. If registering after April 12, total will be due upon receipt of written confirmation. |
| Please Reserve This Many Rooms |
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| Assembly Inn |
Single occupancy, Private Bath: $461.00
Double occupancy, Private Bath: $305.00 per person
Single occupancy, Connecting Bath: $385.00
Double occupancy, Connecting Bath: $285.00 per person |
Winsborough |
Single occupancy, Connecting Bath: $305.00
Double occupancy, Connecting Bath: $205.00 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 |
$53.25 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 |