Test Registration | EFCA Central Leadership Conference

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Today

This is a test form First, add all attendee names and emails addresses.

Attendees

Attendee Name	Actions

There are no Attendees.

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Total Number of Attendees

Billing Information

The information below will be used for billing purposes. PLEASE be sure to add ALL participants in the section above.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Enter Email Confirm Email

Church or Organization

Church or Organization City & State

EARLY REGISTRATION DISCOUNT

$15/person if registered by Friday, February 10, 2021

REFUNDS

100% refunds given through February 28th.
After February 28, 2021, refunds will not be available, however, you may transfer your registration to another person from your church. You will need to contact the EFCA Central Office at (515) 232-9005 option 0 or by email at [email protected],org.

Payment

Payment Options

Pay with Credit Card via Paypal
Pay with Check

Registration Fee

Price: $0.00

Covers all meals and activities

Discount

Price: $0.00

Registration Subtotal

Coupon

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Amount needed to cover Paypal Transaction Fee

In order to receive the full amount of your registration, we would need to pay to PayPal. You can help us by adding this amount to your registration payment using the checkbox below.

Transaction Processing Fee

Yes, please add the Transaction Processing Fee to my donation so that the full amount of the registration fee is available for conference use.

Added Fee

Price: $0.00

Total

$0.00

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Total Calc

After 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.

Once you click "Submit", you agree to mail a check to the District office for the amount in the final Total field. You will receive a reminder email with instructions for mailing in the payment.

No Payment Required

You have no payment due. Click Submit to complete your registration.

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