Fields marked with * are Required

Online registration is available for residents of US and Canada only.

Personal Information

Participant 1* First Name Last Name
Participant 2* First Name Last Name
Names for Name Tag (if different from above)
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 Couples @ $175 conference fee
Add $25 per couple after February 18, 2011
Community Services Fee @ $4 per couple
Please check here if you pay property taxes to the Town of Montreat. You are not required to pay this fee.

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.
We would like to purchase meals in the Galax Dining Room for Friday supper through Sunday breakfast for an additional cost of $96.00 per couple.
We would like to purchase lunch on Saturday in the Galax Dining Room for an additional cost of $18.00 per couple.
We 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