Register and pay for the 2019 International Crossings Conference We are glad to see you're interested in joining with The Crossings Community for the 2019 Crossings Conference! In order to register for this event, please complete and submit the following registration form. If paying by check, please send the check to the address at the bottom of the form. If paying by credit card, you will be asked to submit your credit card information. All transactions are processed securely through Stripe.Registrant Basic InformationRegistration IDName of Registrant* First Last Preferred First NameThis will be used on your name badge.Gender Pronounsshe/her/hershe/him/histhey/them/theirsEmail* Enter Email Confirm Email Cell Phone*Address*The city will be used on your name badge. Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What do you do for ministry?*(e.g. pastor, student, volunteer, etc.)This will be used on your name badge.Organization Name*Emergency ContactName* First Last Relationship*Phone*Registration & HousingRegister for…*Full ConferencePartial AttendanceLate Arrival I will be arriving Monday morning and don't need housing for Sunday night. Partial Attendance*Each morning option includes lunch. Each afternoon option includes dinner. Please note that these partial attendance options do not include housing. Sunday evening Monday morning Monday afternoon Tuesday morning Tuesday afternoon Wednesday morning Room Preference*Share with one roommatePrivate roomNo housing neededName of Requested Roommate First Last Personal Needs & PreferencesGround Transportion I will need ground transportation to/from the Belleville MetroLink station Food AllergiesFood PreferencesDo you have any mobility issues we could help accommodate?Ministry InvolvementsAre you interested in helping with worship music?*YesNoWhat musical instruments do you play?PaymentCrossings is committed to making this conference as accessible as possible to those who are interested, and that money should not be a barrier. If interested, please send email to firstname.lastname@example.orgDiscount CodeYou can apply any applicable discount: First-time attendees enter FIRST2019 for 50% off. Seminary students enter SEMINARY2019 for 100% off. Newly-ordained pastors (up to 3 years into first call) enter PASTOR2019 for 100% off. Total $0.00 Payment Option*Register & Pay Online TodayRegister Only & Send Payment via Postal MailRegister w/ $0 Payment Due (because of discount code)Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Please settle registration dues by January 11, 2019. Send payment to: The Crossings Community PO Box 7011 Chesterfield, MO 63006-7011 Makes checks payable to Crossings and write Conference Registration on the memo line. PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.