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Youth
Home
Latest Events
login
Leadership
Venue
Prayer Line
Contact Us
Registration
Registration-Dashboard
Online Registration
Sponsorship Packages
Church Sponsorship
Advertisement
Download PDF Registration Form
Donation / Payment
Youth
IPC FAMILY CONFERENCE 2019
Online Registration
Please enter information in the form below to process registration for event
Advertisement Rates
.
ADVERTISING PLANS
Song Book Advertisement
*
--Select--
Full-Page: $300
Half Page: $200
Stall Rates: $150
ENTER PRIMARY REGISTRANT INFORMATION
Title
*
--Select--
Mr.
Mrs.
Ms.
Pr.
Rev.
Dr.
Gender
*
--Select--
Male
Female
First Name
*
Last Name
*
Email
*
Mobile #
*
Church Name
Address1
*
City
*
State
*
Zip
Registrants Food Allergies
Registrants Disabilities
Names of Kids ages 3 or younger
Comments
Payment Information
Amount
$
Payment processing fee
$
Gross amount
$
Payment Method
*
Check Payment / Offline Payment
Credit Card / Debit Card / PayPal (3% Payment Processing Fee will be added )
Billing Zipcode
*
Credit Card Number
*
Expiration Date
*
01
02
03
04
05
06
07
08
09
10
11
12
/
2019
2020
2021
2022
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Card (CVV) Code
*
Card Type
*
Visa
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Discover
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Card Holder Name
*
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