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Bal-tester
Test
Hidden
Name
First
Last
Hidden
Email
Hidden
Church Name
Hidden
Church Address
City
ZIP / Postal Code
Hidden
Date
MM slash DD slash YYYY
Number of Adults
Number of Adults (Early)
Number of Students
Number of Students (Early)
Previously Paid
Total Attendees Requiring Payment
Hidden
New Total Paid
Coupon Code
Codes are only provided for administrative purposes and are not made available for discounts.
Registration Cost
Quantity
You can lower the quantity of this field if you cannot pay the full amount at this time. The balance will carry over for another payment. You can use this to secure early pricing for some attendees while still waiting for payment or final confirmation from others.
Price:
$249.00
Quantity
You are trying to pay too much.
Please reduce your quantity to be no larger than your total attendees needing payment.
Hidden
Amount Check
Hidden
Quantity Check
Hidden
Match Check
Deposit Paid
Quantity
The quantity on this field must match the number chosen above.
Price:
-$25.00
Quantity
Early Bird
Discount
$0.00
Total
Recalculating Totals.
Click out of the Registration Quantity field to update the amount due.
Credit Card
(Required)
Please check if you have activated a Stripe feed for your form.
Hidden
Project Number
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