Registration Form

Transcription

Registration Form
3 Ways to Register!
1
INTERNET
www.generalcouncil.org
2
FAX 417‐862‐7891
(Must include credit card information)
3
MAIL
2015 GENERAL COUNCIL
Orlando, FL | August 3-7
 This will be my first GC to attend
 I am under the age of 18. (*)
First Name ______________________________________
Last Name _________________________________
E‐mail ___________________________________________ Preferred Phone ____________________________
GC15 REGISTRATION
Address_____________________________________________________________________________________
Convention Services Group
1445 N. Boonville Avenue
Springfield, MO 65802
City/State/Zip _________________________________________________
DEADLINE
 GC15 registration submitted by postal mail must be postmarked by July 1, 2015.
 Fine Arts/Kappa Tau/AIM Participant Registration by mail must be postmarked by May 22, 2015.
REFUNDS
 Please see registration instruction page for details.
DELEGATE REGISTRATION ()
 Important: Each General Council affiliated church (this does not include District Affiliated or Parent Affiliated Churches) is allowed one appointed delegate to vote at Council.  In order to vote, the Delegate certification must be filled out and accompanied by at least one signature.
The signature of the pastor or secretary of the board certifies that the delegate registered on this form has been appointed to serve as the official delegate for General Council, and also certifies that the church is a General Council affiliated church.
GENERAL COUNCIL or
YOUTH ATTENDEE ()
 This includes members, adherents, missionaries, students, non‐AG attendees, and youth not participating in Fine Arts.  This registration is required for access to all General Council facilities including evening services, exhibit hall, and Fine Arts presentation rooms. Children 10 years of age and under not attending Kids Council do not require a paid registration.
INFLUENCE CONFERENCE ()
 The INFLUENCE CONFERENCE is included with registration. Registrants must select the box denoting their desire to attend and a ticket will be added to their registration.
Country _____________________
Church you attend? ___________________________________ Ministry Position _______________________
If you prefer a different City, State, or Country printed on your badge, please specify below:
___________________________________________________________________________________________
VOTING REGISTRATION
Early Bird – $114 (Effective January 19 – March 31, 2015)
Preregistration – $134 (Effective April 1 – Sunday, August 2, 2015)
On‐Site – $154 (Effective Monday, August 3, 2015)
 General Presbyter ()
 Ordained ()
 Licensed ()
 YES, I would like a ticket to attend the INFLUENCE CONFERENCE () () Account No. _________________________________
From Credentials Card
() Church Acct. No. _________________________
() Pastor or Secretary of the Board Signature ______________________________________________________
NON-VOTING REGISTRATION
$25 (Effective January 5 – August 7, 2015 – no rate change)
 YES, I would like a ticket to attend the INFLUENCE CONFERENCE ()  Certified Minister
Camp GC Registration
 General Council, Student, or Youth Attendee ()
Grade of Child (in Sept. 2015)_______ Age______
Select appropriate category:  Elementary
 Preschool
 Special Needs
PACKAGES
A LA CARTE
Please circle the day(s) you need
 Best Value GC $200
 Evenings ONLY $100
 Morning $50 per day Tu W Th F
 Afternoon $20 per day Tu W Th F
 Evening $25 per day M Tu W Th F
SPECIAL FUNCTIONS See Schedule Overview for further details.
CAMP GC
 A program for children grades K‐6 will be provided with morning, afternoon, and evening activities. See the schedule for more information. Each child must be registered to participate. Evening session will be available for preschool and special needs children.
 TUE – Her Green Room, A Ministry Wives Event $12
 TUE – CMN Multiply $10
 TUE – Fire Bible Dinner $30
 WED – Africa’s Hope Lunch $30
 WED – Africa’s Hope Lunch (Lead Pastor/Guest) No Charge
 WED – Alliance for AG Higher Educ Lunch $33
 WED – Discipleship Ministries Lunch $40
 WED – Global University Lunch $30
 WED – Music Community Lunch $40
 WED – REACHABLE ‐‐ AGWM Int’l Dinner $25
PRESCHOOL & SPECIAL NEEDS
 During evening services, Kids Council will also offer a program for early childhood ages 3‐4, and a program for special needs children ages 5‐12. Each child must be registered to participate.
Reg Fees $___________ Special Function Fees $___________
LANGUAGE TRANSLATION
 Do you need language translation? (Check one)
 Delegate ()
Payment Information
 WED – Late Night GLOW Party $35
 WED – Women in Ministry Reception 25
 WED/THU – Late Night GLOW Parties $50  WED – Youth PK Network Reception $10
 THU – Memorial Breakfast $31
 THU – Church Multiplication Lunch $40
 THU – Light for the Lost Lunch $40
 THU – Sr. Ministers Lunch (Ages 64/Under) $31
 THU – Sr. Ministers Lunch (Ages 65+) No Charge
 THU – Late Night GLOW Party $35
TOTAL
$_____________
 VISA  Discover  MasterCard  American Exp.
Card Number________________________________________________ Expiration Date__________________
Name on Credit Card (Please Print)_______________________________________________________________
 ASL  Spanish  Korean
Address_____________________________________________________________________________________