Form Conference Final Form Early Bird Pricing Family (Couple + 2 Children under 18) ₹10,000/- First two youngest children under-18 entry free Extra Child (3-12) ₹1,000/- Extra Child (12-18) ₹2,000/- Extra Child/ Adult (18+) ₹4,000/- Regular Pricing Family (Couple + 2 Children under 18) ₹20,000/- First two youngest children under-18 entry free Extra Child (3-12) ₹2,000/- Extra Child (12-18) ₹4,000/- Extra Child/ Adult (18+) ₹6,000/- NRI Pricing Family (Couple + 2 Children under 18) ₹30,000/- First two youngest children under-18 entry free Extra Child (3-12) ₹4,000/- Extra Child (12-18) ₹6,000/- Extra Child/ Adult (18+) ₹8,000/- Registration Category(Required)Early bird pricing ends on July 31st! Early Bird – ₹10,000/- per Family Regular – ₹20,000/- per Family NRI – ₹30,000/- per Family Name(Required) First Name Last Name Email(Required) Phone(Required)Gender(Required) Male Female Spouse(Required) First Name Last Name Do you have Children?(Required) No Below 18 Above 18 Below & above 18 Do you have Children?(Required) No Below 18 Above 18 Below & above 18 Do you have Children?(Required) No Below 18 Above 18 Below & above 18 Children info(Required)Please enter the details of the first two youngest children under 18 (entry is free). Please add an extra row for the second child.NameAge Add RemoveDo you have more than two children?(Required) Yes No Do you have more than two children?(Required) Yes No Do you have more than two children?(Required) Yes No Do you have more than two children?(Required) Yes No Do you have more than two children?(Required) Yes No Do you have more than two children?(Required) Yes No HiddenChildren infoFirst two youngest children under-18 entry free.NameAgeName(Required) Age(Required) Name(Required) Age(Required) Name(Required) Age(Required) HiddenChildren infoFirst two youngest children under-18 entry free.NameAgeHiddenChildren infoFirst two youngest children under-18 entry free.NameAgeAge 3-12 years(Required)Apart from the above two childrenNone12 3 Age 3-12 years(Required)Apart from the above two childrenNone12 3 Age 3-12 years(Required)Apart from the above two childrenNone12 3 Name(Required) Age(Required) Name(Required) Age(Required) Name(Required) Age(Required) Age 12-18 years(Required)Apart from the above two childrenNone1 2 3 Age 12-18 years(Required)Apart from the above two childrenNone1 2 3 Age 12-18 years(Required)Apart from the above two childrenNone1 2 3 Name(Required) Age(Required) Name(Required) Age(Required) Name(Required) Age(Required) Age 18+ years(Required)Apart from the above entriesNone1 2 3Age 18+ years(Required)Apart from the above entriesNone1 2 3Age 18+ years(Required)Apart from the above entriesNone1 2 3Name(Required) Age(Required) Name(Required) Age(Required) Name(Required) Age(Required) Age 18+ years(Required)None1 2 345Age 18+ years(Required)Apart from the above entriesNone1 2 345Age 18+ years(Required)Apart from the above entriesNone1 2 345Name(Required) Age(Required) Name(Required) Age(Required) Name(Required) Age(Required) Name(Required) Age(Required) Name(Required) Age(Required) Complete Address(Required) Street Address City State / Province / Region Pin Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Church Name(Required) Church Denomination(Required) Role(Required) Elder/Pastor Lay Elder Pastoral Assistant/Intern Seminary Student Church Member Other HiddenRole Women’s Ministry Leader Children’s Ministry Leader Other Other Role(Required) Women’s Ministry Leader Children’s Ministry Leader Church Member Other HiddenHave you attended any *EIC Events? EIC Regional Conference All India Pastors’ Conference Others No Have you attended any *EIC Events?(Required) EIC Regional Conference All India Pastors’ Conference Others No Donation ₹ 500 ₹ 1,000 ₹ 5,000 ₹ 10,000 Other Price Total ***Registration is complete only when full payment is done.CAPTCHA Form
