Inside Out Registration 2014
What church are you affiliated with, if any?
What is your phone number? (cell if available)
May we text you with updates?
Your Email Address
May we add your email address to the Women's Ministries "Elevate" E-letter list?
Please choose your accommodation preference
Quad (4 to a room) after June 15 (Add $265.00)
Triple (3 to a room) after June 15 (Add $285.00)
Double (2 to a room) after June 15 (Add $305.00)
Are you eligible for a group or preregistration discount? (Groups must have seven or more members and must all register within five days)
No, I am not eligible for a discount
Group of seven or more (Subtract ($20.00))
Preregistered at ISO 2013 (Subtract ($40.00))
Do you have roommate requests?
Would you like to purchase a long sleeve event t-shirt?
No, thank you.
small (Add $20.00)
medium (Add $20.00)
large (Add $20.00)
xlarge (Add $20.00)
xxlarge (Add $23.00)
xxxlarge (Add $23.00)
xxxxlarge (Add $23.00)
How do you plan to submit payment?
Credit Card in full
Auto Withdrawal with down payment
Send check (postmark within 5 days)
For online payment, please add 3% processing fee (this fee is charged to WM by EasyTithe.) e.g. if total is 260.00, add 7.80
Click continue to complete payment. For installment withdrawals from your checking account or to mail a check, continue, exit, then go to easytithe.com/gbwm,
Were you granted a scholarship? If so, subtract one of the amounts below.
Full quad (Subtract ($265.00))
full triple (Subtract ($285.00))
full double (Subtract ($305.00))
partial (Add $150.00)
partial (Add $100.00)
partial (Add $75.00)
partial (Add $50.00)
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