Event Registration 2023 Fall Conference Test-drive Your Event Registration Page This page is currently running in test-drive mode. If this is a paid event, transactions will be sent to your payment processor's test server. No live financial transactions will be submitted. However, a contact record will be created or updated and test event registration and contribution records will be saved to the database. Use obvious test contact names so you can review and delete these records as needed. Refer to your payment processor's documentation for information on values to use for test credit card number, security code, postal code, etc. Account Please enter a Username to create an account. If you already have an account please login before completing this form. Username * Check Availability Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores. Your Registration Info First Name * Last Name * Email Address * Conference Fee * Fall Conference Fee - $ 250.00 Total Payment Options Payment Method Credit Card I will send payment by check Conference questions Do you have any food allergies or dietary restrictions? Yes No If Yes, list here: Breakfast on Saturday will be offered at Shepherds Spring before departing on the bus at 8:45a. Will you be attending breakfast? Yes No Lunch on Saturday will be a box lunch including a Sub, Pasta Salad, Chips, Brownie, and Water. Select the type of sub you would like: - select Lunch on Saturday will be a box lunch including a Sub, Pasta Salad, Chips, Brownie, and Water. Select the type of sub you would like: - Ham & Cheese Turkey & Cheese American cold-cut Chicken salad Veggie Review
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