To print a paper copy of the brochure (which you can use to register by US Mail), click this this link. You may need Adobe Reader installed on your computer to view and print the brochure. Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Enter Email Confirm Email Spouse Name First Last Spouse Email Enter Email Confirm Email Church or OrganizationChurch or Organization City & StateEARLY REGISTRATION DISCOUNT $25/person by Thursday, January 31, 2019 $15/person by Friday, February 15, 2019 REFUNDS 100% refunds will be given only through January 31st. 50% refunds given through February 15th. After February 15, 2019, refunds will not be available, however, you may transfer your registration to another person from your church. You will need to contact the Central District Office at (515) 232-9005 or by email at [email protected],org. DISTRICT SUPERINTENDENT'S DINNER The Superintendent’s dinner is on Monday, March 4 @ 6:15 pm at the “MACHINE SHED” 1151 Hickman Road in Urbandale. You must be registered to attend. The additional cost is $12 per person. Discount NoticeMonday & Tuesday Registration Price: $125.00 Quantity: (Both lunches included) Full price without discount: $125.00Spouse Two Day Registration Price: $85.00 Quantity: (Both lunches included) Full price without discount: $85.00Names of Monday/Tuesday AttendeesFirst NameLast Name Names of Monday/Tuesday SpousesFirst NameLast Name Monday Only Registration Price: $75.00 Quantity: (Monday lunch included) Full price without discount: $75.00Tuesday Only Registration Price: $65.00 Quantity: (Tuesday lunch included) Full price without discount: $65.00Names of Monday Only ParticipantsFirst NameLast Name Names of Tuesday Only ParticipantsFirst NameLast Name Monday District Superintendent's Dinner Price: $12.00 Quantity: ($12 PER PERSON - at Iowa Machine Shed Restaurant)Names of District Superintendent's Dinner ParticipantsFirst NameLast Name Total $0.00 CAPTCHAAfter you click on the "Submit" button, you will be taken to PayPal to pay for your registration. You are not required to have a PayPal account to use PayPal to pay for your registration via credit or debit card. This iframe contains the logic required to handle Ajax powered Gravity Forms.