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IBCM Network - BTN Conference Registration
Conference Arrival: Tuesday afternoon May 31, 2022
Conference Departure: Saturday midday June 4, 2022
The conference will follow the pandemic requirements in place in the USA and the requirement of Emmaus Bible College. Each person is responsible to ensure they meet the entry requirements the USA has set for your country of origin. In the event that pandemic restrictions prevent the holding of a face to face conference the conference will be held as a virtual conference.
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Registering For
*
Single
Married Couple
IMPORTANT NOTICE: IF YOUR SPOUSE IS COMING, YOU NEED TO FILL IN A SEPARATE BOOKING FORM FOR HIM / HER.
PERSONAL DETAILS
Title
*
Mr
Mrs
Ms
Miss
Dr
First/Given Name
*
Last/Family Name
*
Email
*
Email
Confirm Email
Gender
*
Male
Female
Date of Birth
*
DD
1
2
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MM
1
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YYYY
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2005
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1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Nationality
*
Select Country
Afghanistan
Albania
Argentina
Australia
Austria
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe ISlands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Spouse - First/Given Name
*
Please make sure you fill in another registration form for your spouse
Spouse - Last/Family Name
*
Please make sure you fill in another registration form for your spouse
Dietary Requirements
Diabetic
Gluten Intolerant
Lactose Intolerant
Nut Allergy
Vegetarian
Other / Further Details
Further Dietary Information
RESIDENTIAL ADDRESS
Address
*
City
*
Postcode
*
Country
*
Select Country
Afghanistan
Albania
Algeria
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe ISlands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
State/Province/Region
*
CHURCH AND MINISTRY
Church attending
*
Training Institution associated with (if any)
Academic Qualifications (if any)
Nature of Ministry Experience
CONFERENCE OPTIONS AND FEES
All fee amounts are in US Dollars
Do you need financial support to come the BTN Conference?
*
Yes
No
NOTE: If you are requesting financial support you must still select the Full Conference fee option and request transport if required. Then select and pay the Application Deposit of US$50. Following the submission of your registration and the payment of the deposit we will be in touch with you to discuss the possibility of providing financial support to enable you to attend the conference.
Do you need a formal invitation to obtain a visa?
*
Yes
No
An invitation letter will be sent to all. However if you require a detailed invitation letter to obtain a visa please request one here.
Elective Themes - (select one)
*
Formal Accredited Training
Informal Grassroots Training - Discipleship & Mentoring
Preaching and Interpretation
Theology
Public Faith in Diverse Contexts
This is an indication for numbers only.
Having chosen an elective theme you can still choose electives from other themes.
Do you need translation into another language?
*
Yes
No
The conference is offered in English, Some translation into other languages (Spanish and French) may be available.
Which language do you need translation for?
*
Spanish
French
Fee Options - US$ (select one)
*
1 - Full Conference - includes accommodation and meals (300)
2 - Conference Cost Only - No accommodation (180)
3 - Daily Rate, no accommodation - (60)
4 - Mornings Sessions Only - no meals or accommodation - (100)
5 - Emmaus On-Site Staff or Student - Conference Only, no accommodation or meal costs included (50)
In the event that pandemic conditions will not allow a face to face conference your deposit will go toward the hosting of a virtual conference.
All other funds paid will be reimbursed if the conference does not proceed as a face to face conference.
Days Attending - US$60/day (Daily Rate)
*
Wednesday - 1st June
Thursday - 2nd June
Friday - 3rd June
Travel Options - US$ (select one)
*
1 - I require transport from Chicago to Dubuque and return (60)
2 - I am arranging my own transport
Transport by bus can be provided from the Chicago airport to Emmaus Bible College in Dubuque on May 31 and return to Chicago airport on June 4. Full details will be forthcoming.
If sharing a room with whom would you like to share?
Would you like to provide financial assistance for the conference or other participants?
(50)
(100)
Other Amount
No
Amounts are in US$
Support Amount (US$)
Total Conference Cost
What amount would you like to pay now? (USD$)
*
Application Deposit - non refundable - (50)
Full Amount
You need to pay at least the deposit amount in order for you to be registered.
You will pay the selected amount by PayPal/Credit Card now.
You will be invoiced for the total conference cost.
In the event that pandemic conditions will not allow a face to face conference your deposit will go toward the hosting of a virtual conference.
IBCM Network - BTN Conference Payment
*
Conference Participant List - I am happy to share my name and email address with conference participants?
*
Yes
No
Disclaimer
I understand that by submitting this form I confirm that the information given is accurate and that I recognize that it is necessary for IBCM Network to hold and process the personal data provided for IBCM Network and BTN communication purposes.
Your data will not be shared.
Disclaimer
*
I Agree
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