“why Christian history matters” Online Registration Form Step 1 of 2 50% How many people would you like to register today?12345About YouPlease complete this section about yourself. Name* First Last Age*Under 1818-2425-3435-4445-5455-6465 or AbovePrefer Not to AnswerGender*MaleFemaleMarital Status*SingleMarried (attending with spouse)Married (attending without spouse)Dietary Restrictions/Allergies (if any)Second PersonName First Last AgeUnder 1818-2425-3435-4445-5455-6465 or AbovePrefer Not to AnswerGenderMaleFemaleMarital StatusSingleMarried (attending with spouse)Married (attending without spouse)Dietary Restrictions/Allergies (if any)Third PersonName First Last AgeUnder 1818-2425-3435-4445-5455-6465 or AbovePrefer Not to AnswerGenderMaleFemaleMarital StatusSingleMarried (attending with spouse)Married (attending without spouse)Dietary Restrictions/Allergies (if any)Fourth PersonName First Last AgeUnder 1818-2425-3435-4445-5455-6465 or AbovePrefer Not to AnswerGenderMaleFemaleMarital StatusSingleMarried (attending with spouse)Married (attending without spouse)Dietary Restrictions/Allergies (if any)Fifth PersonName First Last AgeUnder 1818-2425-3435-4445-5455-6465 or AbovePrefer Not to AnswerGenderMaleFemaleMarital StatusSingleMarried (attending with spouse)Married (attending without spouse)Dietary Restrictions/Allergies (if any)Anything else we should know?If you have more than five people to register, enter the additional names here. Or if you have other details you think we should know please write us a note. Otherwise, please continue to finish your registration. Your Contact InformationEmail Address* Can we send you email updates?* Yes, please send me emails about this and other events! No, Thanks. Phone NumberType of PhoneMobileLandlineAddress Mailing Address Community Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Payment InformationMethod of Payment*Please choose how you would like to pay.ChequeInterac E-TransferCredit Card or PaypalRegistration Fee*$170 per person paid by cheque or e-transfer; $175 per person paid by Paypal. Price: $ 0.00 CAD Processing Fee Price: $ 0.00 CAD Coupon CodeIf you have a discount or coupon code, please enter it here. Your total will reflect the applicable discount. Total $ 0.00 CAD
