JF Test Stripe Page

Attendee Name*

First Last

Attendee Email*

Enter Email Confirm Email

Church/Ministry Name*

Church/Ministry City and State*

City State / Province / Region

Church/Ministry Role*

Registration Category*

Number of People Attending (No more than 10)*

Please enter a number from 1 to 10.

Attendee Name 2*

First Last Role

Attendee Name 3*

First Last Role

Attendee Name 4*

First Last Role

Attendee Name 5*

First Last Role

Attendee Name 6*

First Last Role

Attendee Name 7*

First Last Role

Attendee Name 8*

First Last Role

Attendee Name 9*

First Last Role

Attendee Name 10*

First Last Role

Total

$0.00

Payment Method*

Credit/Debit Card (Payment form will appear below.)
ACH - direct from bank account (Instructions will be e-mailed to you shortly after you submit the registration.)

Credit Card

Phone

This field is for validation purposes and should be left unchanged.