Inside Out Registration 2014
Inside Out Registration 2014
Last Name  * 
First Name  * 
Street address  * 
City  * 
State  * 
Zip  * 
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  * 
Are you eligible for a group or preregistration discount? (Groups must have seven or more members and must all register within five days)  * 
Do you have roommate requests?  * 
Would you like to purchase a long sleeve event t-shirt?  * 
How do you plan to submit payment?  * 
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,
Were you granted a scholarship? If so, subtract one of the amounts below.  * 
Total $
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