True Identity Conference Registration - The Victory Conference

MAIN REGISTRANT INFORMATION

Name

First Name

Last Name

Mailing Address

Streetyour street address

Cityyour city

State/Provinceyour state

Zip/Postalyour zip code

Phone #

E-mail

Emaila valid email

CHURCH INFORMATION

Name of Church

Church Phone #

Position

ADDITIONAL REGISTRANTS

Please indicate ages for children under 18.

Name 1your full name

Relationship, if any

Ageyour full name

Name 2your full name

Relationship, if any

Ageyour full name

Name 3your full name

Relationship, if any

Ageyour full name

Name 4your full name

Relationship, if any

Ageyour full name

Name 5your full name

Relationship, if any

Ageyour full name

Name 6your full name

Relationship, if any

Ageyour full name

Name 7your full name

Family Relationship

Ageyour full name

Name 8your full name

Relationship, if any

Ageyour full name

Name 9your full name

Relationship, if any

Ageyour full name

Name 10your full name

Relationship, if any

Ageyour full name

Name 11your full name

Relationship, if any

Ageyour full name

Please list the names of any additional registrantsmore details

0 /

LODGING INFORMATION

Church Family Lodging Information

Number of Double Beds

Number of Single Beds

Special Considerations (i.e allergies, etc.)more details

0 /

Arrival DateArrival

Departure DateDeparture

AIRPORT SHUTTLE INFORMATION

Flight Arrival DateArrival

Arrival AirlineYour arrival airline

Flight #your full name

Please select which O'Hare arrival shuttle works best with your schedule.

Departure DateDeparture

Departure Airlineyour full name

Flight #your full name

Please select which O'Hare departure shuttle works best with your schedule.

PAYMENT CALCULATOR

FULL REGISTRANT

Includes banquet and notebook

$[field125*105]

FULL FOR SPOUSE/CHILD OVER 18*

Includes banquet, but not notebook

$[field127*75]

ONE-DAY REGISTRANT**

Does not include banquet or notebook

$[field129*50]

ONE DAY FOR SPOUSE/CHILD OVER 18*

Does not include banquet or notebook

$[field131*35]

ADDITIONAL NOTEBOOKS

$[field133*20]

LUNCH TICKETS

$[(field153*5)+(field154*5)+(field155*5)]

ADDITIONAL BANQUET TICKETS

$[field159*8]

Sub-Total: $[(field125*105)+(field127*75)+(field129*50)+(field131*35)+(field133*20)+(field153*5)+(field154*5)+(field155*5)+(field159*8)]

Early Registration Discount: $[-(field125*10)]

$[(field125*105)+(field127*75)+(field129*50)+(field131*35)+(field133*20)+(field153*5)+(field154*5)+(field155*5)+(field159*8)]

*There is no charge for school age students accompanying their parents or pastor.

**Registrants attending for 2 or more days must pay full price.