Online PayPal Conference Registration



Due to the large number of participants, chaperones for youth are required to register. Please designate chaperones to assist in the workshop classes as well as preparation for the mime concert.
Chaperones that will be inside the hotel and auditorium are required to register.

        (You must use Paypal for payment submission when using the Online Registration Option)
        If you would prefer to mail your Payment, a Standard Registration Form & Participants Names Form are
       available for you when you follow this link.

                    1. Complete this Online Registration Form with all the necessary name/age information
                    2. Be sure to insert the same Email Address information on both your Online Registration Form & Your Payment Option
                         (This is how your Registration Form will be matched with your Payment. Failure to submit this on both forms may result in non-registration)
                    3. Submit your Online Registration Form below and promptly complete #4; Payment Option thru Paypal
                    4. Complete the Payment Option using the PayPal button below
                        (Once your transaction is complete you will receive an online receipt at the email address you supply during your payment process)

Lead Contact Name*:
Church/Ministry:
Phone*:
State:
Address:
City:
 Zip:
E-Mail Address*:
Website Address: http://
 
*denotes a required field needing information
  
Thursday, April 22nd - Sunday, April 25th - Register now!
Access: Conference Itinerary here Hotel Information here
Participant 1 Name:
Age:
Participant 2 Name:
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Participant 3 Name:
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Participant 4 Name:
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Participant 5 Name:
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Participant 6 Name:
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Participant 7 Name:
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Participant 8 Name:
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Participant 9 Name:
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Participant 10 Name:
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Participant 11 Name:
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Participant 12 Name:
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Participant 13 Name:
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Participant 14 Name:
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Participant 15 Name:
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Participant 16 Name:
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Participant 18 Name:
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Participant 19 Name:
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Participant 20 Name:
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Due to the large number of participants, chaperones for youth are required to register. Please designate
chaperones to assist in the workshop classes as well as preparation for the mime concert.
Chaperones that will be inside the hotel and auditorium are required to register.

Please type the code shown in the image*:


Click to "Register" for the Conference
You will now be directed to the Conference Payment processing page to remit your payment
based on the above listed participants & the Email Address you supplied here during registration.
After you receive your confirmation from Paypal, your Conference Registration will be considered complete.

Although your conference registration is non-refundable, it is transferable!
(We will contact you using the phone# or email address you've provided in the event inaccurate payments are received.)

Thank you for contacting Paneh Mime Ministries International!!


Desperate for Him Mega Mime Conference 2010 is sponsored by
Kingdom Builder’s Christian Center & Paneh Mime Ministries International
Sr. Pastor Timothy & Co-Pastor Chandra Midgette

You may also use our Standard Registration Form for all registration via US Postal Mail Service
(link coming soon)


Send your US Postal Mail Service payments to:
Paneh Mime Ministries
Attention: Desperate For Him International Mime Conference
PO Box 14672 ~ Durham, NC 27709

 
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