Fields marked with * are Required

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. 335 if you have any questions.
Online registration is available for residents of US and Canada only.
Church/Group Name *
Leader's Name *
Address *
City *
State/Province *
Zip *
Country *
Home Phone *
Work Phone
Email *
Church PIN Number Look up your PIN number
Presbytery *
Emergency Contact Name *
Emergency Contact Phone *
This is my first Montreat conference * Yes   No

Conference Information

All costs are per person. Groups will have an opportunity to specify which package individuals in your group require by using the "Ski Package Options" form, which will be mailed with your registration confirmation.
Number of Adults/Youth age 11 & up ($191.00 deposit required per person)
Add $15 per person if registering after January 2
Number of Children age 5-10 ($10.00 deposit required per child)

Housing and Meals Information

I have arranged other housing
I will be staying at
The phone number there is
I want to register for housing and meals
Housing is limited and assigned on a first-come, first-served basis.
Please Reserve This Many Rooms Single occupancy (additional charge applies)
Double occupancy
Triple occupancy (if available)
We are staying Sunday night   additional $25 per person (room only, no meals)  
Housing Preference Assembly Inn
Winsborough
Glen Rock Inn
Total Number of Adults
Total Number of Children
ages 11 and up
Total Number of Children
ages 5-10 		$18.25 per child for meals
Total Number of Children
under age 5 		no charge
Arrival Date
Departure Date

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?
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