IBCM Network Europe Conference Registration

Registering For *

Single
Married Couple

You need to fill in a separate form for each individual person participating in the conference for whom you are booking.

PERSONAL DETAILS

Title *

First / Given Name (as on passport) *

Surname / Family Name (as on passport) *

Email *

Email

Confirm Email

Gender *

Male
Female

Date of Birth *

Nationality *

Spouse First / Given Name (as on passport) *

Please fill in another registration form for your spouse

Spouse Last / Family (as on passport) *

Do you need translation from English into another language?

Yes
No

Language *

Only languages with significant number requesting that language will offered.

Dietary Requirements

Further Dietary Information

YOUR ADDRESS

Residential Address *

City *

State / Province / Region *

Postal Code *

Country of Residence *

CHURCH AND MINISTRY

Church attending *

Christian organisations you work with (if any)

Nature of personal ministry

CONFERENCE OPTIONS AND FEES

All fee amounts are in Euros

Conference Workshops Streams *

Choosing a Workshop Stream still allows you to choose workshops from other streames, if you wish.

Fee Options (in Euro per person) *

1 - Full Conference, Accommodation Single Room - (365)
2 - Full Conference, Accommodation Double/Shared Room - (250)
3 - Conference Cost Only - no accommodation (180)
4 - Daily Rate, No Accommodation - €50
5 - Infants up to 3 years old - free
6 - Children 4-10 years old - (120)

Days Attending - €50/day *

Do you wish to book extra nights at the conference venue? *

Yes
No

Extra Nights: €55/night - single (includes accommodation & breakfast) *

Sunday - 25th September
Friday - 30th September

If you wish to book for more nights than this, contact us at europe@ibcm.net

Extra Nights: €30/night - shared (includes accommodation & breakfast) *

Sunday - 25th September
Friday - 30th September

If you wish to book for more nights than this, contact us at europe@ibcm.net

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 Euros

Support Amount (€)

Total Conference Cost (€)

What amount would you like to pay now? (€) *

Application Deposit - non refundable* - (60)
Full Amount

You will pay the selected amount by PayPal/Credit Card now.
The balance can be paid either by using the same method, or by bank transfer to the following bank account:

IBAN: GB16 BUKB 2017 2043 6629 18
Account No: 43662918
SWIFTBIC: BUKBGB22
Account Name: IBCM NETWORK
Account Address: ASH TREE HOUSE, FEN LANE, NORFOLK, IP22 1DR
Bank Name and Address: Barclays Bank, 1 Churchill Place, London E14 5HP
Purpose: European conference for ______ (your name)

The balance can be paid by 1 September 2022.
You will be invoiced for the total conference cost.

IBCM Network Europe Conference Payment (€) *

Debit / Credit Card *

Card

Name on Card

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 administrative and communication purposes.
- I also acknowledge that I am responsible to ensure that I have sufficient travel insurance to meet any medical costs including Covid.
- I acknowledge that it is my responsibility to meet the Covid requirements for my travel.
Your data will not be shared for any other purposes.

Disclaimer *

I Agree