* Your Name
* Spouse's Name
* E-mail
* Work Phone
* Home Phone
* Address 1
Address 2
* City
*State
*Zip
*Payment
Card Type
$ Amount to be charged
Card Number (no dashes)
Expire Month
Expire Year
Card Security Code
Name on Credit Card
Address 1 of Card Holder
Address 2 of Card Holder
City of Card Holder
State of Card Holder
Zip of Card Holder
Questions (if any)
Numeric - 2 digits
Numeric - 4 digits
* Indicates a required field
Enter NONE if you do not have a spouse
Welcome to the online registration page of the Kingdom Mechanics Conference.
In order for us to process your registration we need the following information. A confirmation of your registration will be sent to you shortly. Seating is not reserved until your payment has been approved and a confirmation sent. Thank you for your understanding.
Please Note: All ticket purchases are non-refundable. Tickets are transferable but all sales are final.
If you choose to use a credit card, please fill in your credit card information below.
<Click Here> for a PDF copy of registration form to mail in with your payment.
*Registration payment can also be made by clicking the PayPal by clicking the Donate tab below. Your statement will show:
"Troy Brewer Ministries - aka
"Fresh from the Brewer"
and/or
odmwebmaster@gmail.com
Website originally designed by Steve Ashley - GHM & Associates. *Special pricing for ministries & non-profits starting at $250
Please select a preferred payment method.
Early Bird: (by Jan 1st, 2010)
$35 per person
$60 per Married Couple
Bird: (by Jan 25th, 2010)
$45 per person
$80 per Married Couple
Holiday Bird: (at the door)
$ 55 per person
$100 per Married Couple