Workers & Elders – 2024 Conference Registration

Registration

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Last Entry Date

Developer’s Note: Keep track of the date of the previous form submission so that we can detect if new submissions are brand new registrations vs. updates to existing registrations.
Primary Contact Information
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you (your spouse) commended workers?*
- Yes
- No
Include my name, phone number, and email in a group contact list*
- Yes
- No
Additional Guests
How many additional guests will be attending?*
Guest Name*
Age*
Guest Name*
Age*
Guest Name*
Age*
Guest Name*
Age*
Guest Name*
Age*
General Information
Expected Check In
When do you plan on checking in?*
Expected Attendance
When do you plan to attend?*
Accommodations
Transportation*
Mode of Transportation*
Do you need to be picked up from the airport upon arrival?*
- Yes
- No
Note: Transportation to and from the Eastern Iowa Airport in Cedar Rapids (CID) will be available Monday Oct. 14 and Thursday Oct. 17.
Arrival Airport / Flight Information*
Do you need to be dropped off from the airport after the conference?*
- Yes
- No
Note: Transportation to and from the Eastern Iowa Airport in Cedar Rapids (CID) will be available Monday Oct. 14 and Thursday Oct. 17.
Departure Airport / Flight Information*
Housing
Any specific accommodations needed?
Special Needs
List any Dietary Restrictions
List any Allergies
Do you wish to reserve book/display table space?*
(NOTE: Display Table requests must be received by Sept. 15th)
Book Table – Author/Organization/Ministry Name
Book Table – Additional Details
Additional Information
Any special notes or message?
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Register

Workers & Elders – 2024 Conference Registration

Registration

Primary Contact Information

Additional Guests

General Information

Accommodations

Special Needs

Additional Information