REGISTER ONLINE - AGIFNA 2012 - Assemblies of God India Fellowship North America

AGIFNA 2012 - REGISTER ONLINE

LOGIN :

If You have already paid partial payment and if you want to pay due amount please login below

First Name

Last Name

Zip : *

Church

Address

City

State

Phone

Cell

Email *

ADULTS.
	Name	Sex M F
1
2
3
4
5.
6.

CHILDREN. (11 and Under )
	Name	Age	Sex M F
1
2
3
4
5
6

SPONSOR LEVELS AND BENEFITS(CHECK APPROPRIATE BOX).
General Sponsor 3 Nights Room Food for 4 Registration for 4 Name recorded: in Song Book	$1000
Silver Sponsor 3 Nights Room Suite Food for 4 Registration for 4 Name recorded: in Song Book	$1200
Platinum Sponsor 3 Nights Room Double Suite Food for 4 Registration for 4 Name recorded: in song Book Song book color ad inside Full Page	$1500
Golden Sponsor 3 Nights Room Double Suite Additional Room Food for 5 Registration for 5 Song book color ad inside Name recorded: in song Book Ad space for supplements	$3000

REGISTRATION PROBLEMS

If your having problems with your registration please email registration@agifna.net.

Conference Gift

If you haven't booked a Airline ticket yet, you can always fill the below Flight Information later @

http://www.agifna.net/airline/airline.php.

Airport - Dallas Forthworth Airport Dallas Lovefield Airport

Flight details :
Arrival Date	Arrival time	Airline & Flight #	Departure Date	Departure Time	Airline & Flight #
Ex: 07/26/2012.	Ex: 11. Am Pm	Ex: AA 1171.	Ex: 07/30/2012.	Ex: 3. Am Pm	Ex: AA 1212

Thank You

Thank You From AGIFNA 2012 Staff.

Contact Numbers

Reggie John	972 679 3587
Tony George	972 987 9272
Shiju Abraham	214-738-9445
Jeslin Abraham	214 490 6100

Registration Help

registration@agifna.net.

Before signing and submiting the form, we would like you to scroll up and check if all the required fields are filled up.

Make sure that you have selected room and right numbers of food and registrations.

Release & Disclaimer: AGIFNA will not be liable in anyway whatsoever for any damage, injuries, losses or costs incurred by attending the conference(s). Attendee(s) will assume fully responsibility for their direct or indirect actions. Your registration will be under review and you will receive a confirmation e-mail upon approval.

Digital Signature(Print First & Last Name).

Date (MM/DD/YY).

Email:
Password(ZipCode):