| 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 ($160.00 standard program fee OR $100 reduced fee required per person) |
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I am bringing a younger guest (daughter, granddaughter, etc) and her name is :
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I am a younger guest of
and qualify for the reduced program fee of $100 |
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Add $25 per person if registering after June 6 (does not apply to reduced program fee promotion) |
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Community Services Fee for the Town of Montreat ($4.00 per person required) |
| You may register for two workshops and two alternates. 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. |
Wednesday 11-12:00 noon
1st Choice |
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Wednesday 11-12:00 noon
Alternate Choice |
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Friday 11-12:00 noon
1st Choice |
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Friday 11-12:00 noon
Alternate Choice |
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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 in Assembly Inn or Winsborough |
Rooms are assigned on a first come, first served basis. Some rooms have private baths, and
some rooms have connecting baths. |
| Please reserve a double occupancy room (with meals) in Assembly Inn or Winsborough |
$305 per person for housing and meals
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| If registering after June 6 |
add $75 per person |
| I would like a roommate assigned |
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| 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 |