Registration

Personal Information

First Name:

Last Name:

Phone Number:

Cell Phone:

Email Address:

Church you Attend:

Church Phone Number:

Street Address:

Address Line 2:

City:

State / Province / Region:

Zip / Postal Code:

Country:

Spouse: (If applicable)

Payment Information

Please indicate your payment options below: (payment will be confirmed on the final page of the registration form)

PayPal Mail (cheques only) Payment on Arrival

Lodging & Travel

Hosting/Billeting Requirements: If you require hosting, please check the box below, and inform us of any special hosting requirements you may have.

Do you require hosting?
Please note: Hosting is limited & will be offered on a first come, first serve basis.

Yes No

Do you need transportation to or from the Victoria airport / ferry terminal?

Yes, please arrange pickup and/or drop off

From the: Airport Ferry

No, I have arranged my own transportation

Special hosting requirements:
(Please list any health or dietary restrictions, animal allergies or special needs that your hosts should be aware of.

You have requested transportation to or from the airport terminal
Please check the appropriate boxes, and fill in your itinerary (as applicable).

I need transportation on:	Arrival Yes No	Departure Yes No
Airline:
Flight:
Date:
Time:

You have requested transportation to or from the ferry terminal
Please check the appropriate boxes, and fill in your itinerary (as applicable).

I need transportation on:	Arrival Yes No	Departure Yes No
Date:
Time:

For Schedules & Fares visit: