Online Registration Form

Payments are processed using PayPal.
You do not need to have a PayPal account, just select the "Pay by credit card option" on the payment form.

Compete the following to submit your registration online.

Church/Organization Name:
Street Address:
Address line 2:
City:
State:
Zip Code:
Phone Number:
E-Mail address:

Please enter the names below of all who will be attending.
If attending as a couple, please enter both names and check the "couple" box for both names.
(Check spelling—Name badges will be made from this list)
Name Position Chaplain
Rate?		 Standard
Rate?		 Student
Rate?		 Couple? Amish
Outing		 Historic
Outing



Registration fees will be calculated as follows:

Chaplain Registration—$85.00 (after May 1, 2008 - $90.00)

Chaplain Couples—$95.00 (after May 1, 2008 - $100.00)

Standard Registration—$65.00 (after May 1, 2008 - $70.00)

Standard Couples—$75.00 per (after May 1, 2008 - $80.00)

Ministerial Student—$40.00

Amish Sights and Shopping Outing—$36.00 per person

Historic Philadelphia Outing—$46.00 per person