Institutional Registrations – Evangelical Theological Society

Only complete this form for multiple registrations paid for by a single institutional payment.

After staff has confirmed the membership status of all registrants you will be invoiced for the entire group of registrations. Please make sure that you mark all registrants with their current membership status. Any registrants who are not current members will be registered as non-members and invoiced accordingly.

Institutional Conference Registrations

Name of the Institution to be invoiced for the following registrations

Contact at the institution

First

Last

Contact’s email address

Registrant

Name of registrant for their name badge

First

Last

Registrant’s membership status

Will the registrant’s spouse be attending conference?

Spouse’s name for their badge

Spouse's name for their badge

First

Last

Banquet tickets for this registrant

Registrant

Name of registrant for their name badge

First

Last

Registrant’s membership status

Will the registrant’s spouse be attending conference?

Spouse’s name for their badge

Spouse's name for their badge

First

Last

Banquet tickets for this registrant

Registrant

Name of registrant for their name badge

First

Last

Registrant’s membership status

Will the registrant’s spouse be attending conference?

Spouse’s name for their badge

Spouse's name for their badge

First

Last

Banquet tickets for this registrant

Registrant

Name of registrant for their name badge

First

Last

Registrant’s membership status

Will the registrant’s spouse be attending conference?

Spouse’s name for their badge

Spouse's name for their badge

First

Last

Banquet tickets for this registrant

Registrant

Name of registrant for their name badge

First

Last

Registrant’s membership status

Will the registrant’s spouse be attending conference?

Spouse’s name for their name badge

Spouse's name for their name badge

First

Last

Banquet tickets for this registrant

Registrant

Name of registrant for their name badge

First

Last

Registrant’s membership status

Will the registrant’s spouse be attending conference?

Spouse’s name for their name badge

Spouse's name for their name badge

First

Last

Banquet tickets for this registrant

Registrant

Name of registrant for their name badge

First

Last

Registrant’s membership status

Will the registrant’s spouse be attending conference?

Spouse’s name for their name badge

Spouse's name for their name badge

First

Last

Banquet tickets for this registrant

Registrant

Name of registrant for their name badge

First

Last

Registrant’s membership status

Will the registrant’s spouse be attending conference?

Spouse’s name for their name badge

Spouse's name for their name badge

First

Last

Banquet tickets for this registrant

Registrant

Name of registrant for their name badge

First

Last

Registrant’s membership status

Will the registrant’s spouse be attending conference?

Spouse’s name for their name badge

Spouse's name for their name badge

First

Last

Banquet tickets for this registrant

Registrant

Name of registrant for their name badge

First

Last

Registrant’s membership status

Will the registrant’s spouse be attending conference?

Spouse’s name for their name badge

Spouse's name for their name badge

First

Last

Banquet tickets for this registrant

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