_Registration Form

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Attendee Name*
First Last
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Attendee Email*
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Attendee food sensitivities or allergies
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Organization
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Vocation
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How did you hear about the conference?*
- RW360 Blog
- RW360 Email
- Social Media
- RW360 Website
- Church/Denomination
- Patheos Email
- Other
Please tell us how you learned about our upcoming conference.
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Please List*
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Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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Phone*
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Main Conference: Individual - $324
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Main Conference: Couple - $599
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Main Conference: Military / First Responder -$0
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Main Conference: Banquet only - $50/person
Covers the cost for the reception and banquet for spouses and first responders who did not pay the full registration fee for the conference.
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Main Conference: Two lunches only - $40/person
Covers the cost for lunch on Friday and Saturday for spouses and first responders who did not pay the full registration fee for the conference.
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Preconference Integration Training: Individual - $175
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Preconference Integration Training: Couple - $300
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Spouse Information
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Spouse Name*
First Last
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Spouse Email

It is easier for RW360 to track conference information if you and your spouse use different email addresses. This is not essential, however.
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Spouse food sensitivities or allergies
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Total
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Coupon
Total
$0.00
Name
This field is for validation purposes and should be left unchanged.