| Online registration is available for residents of US and Canada only. |
Personal Information |
| First Name * |
|
| Last Name * |
|
| Name for Name Tag * |
|
| Address * |
|
| City * |
|
| State/Province * |
|
| Zip * |
|
| Country * |
|
| Home Phone * |
|
| Work Phone |
|
| Email * |
|
| Local Church |
|
| Church PIN Number |
Look up your PIN number |
| Presbytery * |
|
| Emergency Contact Name * |
|
| Emergency Contact Phone * |
|
| Is this your first Montreat conference? * |
Yes No |
| Where will you be staying while attending the conference? |
|
| What is the phone number at this location? |
|
Conference Fees |
|
Number of Participants @ $175.00 conference fee |
|
Spouse Attending @ $75.00 conference fee
Spouse's Name: |
|
Add $25 per person after September 12, 2011 |
|
Community Services Fee @ $4 per person
Please check here if you pay property taxes to the Town of Montreat. You are not required to pay this fee. |
Workshop Information |
| You may register for three 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. |
| Monday 1st Choice |
|
| Monday Alternate |
|
| Tuesday 1st Choice |
|
| Tuesday Alternate |
|
| Wednesday 1st Choice |
|
| Wednesday Alternate |
|
Meal Plans (Optional) |
| If you would like to join guests at the Assembly Inn for some or all of your meals, please make your selection below. Meal tickets should be picked up at the front desk of Assembly Inn. |
|
I would like to purchase meals in the Galax Dining Room for Sunday supper through Thursday breakfast for an additional cost of $105.00 per person. |
|
I would like to purchase lunches only (Monday, Tuesday, and Wednesday) in the Galax Dining Room for an additional cost of $27.00 per person. |
|
I would like to purchase the following meals only for an additional cost:
|
Payment Information |
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.
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? |
|
| Please specify if you selected "newspaper/magazine" or "other" |
|
| Special Requests or Questions: |
|
|
| 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 |