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Media Resources

Your Name*
First Last
Your Email*

(to receive confirmation emails)
Phone
(In the event we need to contact you)
Are you completing this form on behalf of a Free Methodist Church/Church Plant?*
- Yes
- No

Name of Attendee
First Last
Email
Phone
(In the event we need to contact you)
What is your current status?
Conference T-Shirt*
Every member of conference will receive a t-shirt with their registration payment. Please make the appropriate selections.
Spouse
Will your spouse be attending?
- Yes
- No
Spouse Name
First Last
Email
Phone
(In the event we need to contact you)
Will your spouse be participating in a Meal Plan?*
FULL MEAL PLAN ($250.00) INCLUDES: TWO BREAKFASTS, TWO BUFFET LUNCHES, COFFEE AND TEA BREAKS AND THREE DESSERT SOCIALS. ONE DAY MEAL PLAN ($125.00) INCLUDES: ONE BREAKFAST, ONE BUFFET LUNCH, ONE DESSERT SOCIAL AND COFFEE/TEA BREAKS.
Would you like to purchase a Free Methodist T-shirt for $25?*
- Yes
- No
Conference T-Shirt Options*
Total
$ 0.00 CAD

Name	Personnel Type	Email Address	T-Shirt Colour & Size