Online Registration Form Request (Webconnex)

*Please do not fill out this form until you have all the information needed to complete your form.

If this event is a repeat from last year, you will only need to fill out the required fields, and anything else you would like changed.

Contact Person Contact Person First Last
Email
Phone Number or Ext.
What is your GL for this event? If you don't have one, you will need to email Margaret Lally in accounting at mlally@cccm.com and she can create one for you.
Event Info

Please fill out with details about your event.
Event Name
Event Date Event Date / MM / DD YYYY
Event Location
Please upload your event graphic. (Min. 2000px wide)
Form Fields

Fill out below with the fields you will want to include in your event form.
What is the cost of your conference, and do you have multiple options? Give us a description of each option and what it includes. Do you have early and late registration? If so, what are the costs and dates?

When you are deciding your pricing please make sure that you reflect 3% credit card processing fees and 99¢ per transaction fee.
Will you have people registering from other countries?

Will you have people registering from other countries? Yes No
Form Field Options

Form Field Options Name Address Email Phone Number Date of Birth Gender Age (optional) File Upload Church Affiliation
Additional Fields
Spouse Registrant

Spouse Registrant Yes No
Would you like to include children? (We will contact you for details.)

Would you like to include children? (We will contact you for details.) Yes No
If you would like a description of your event, please include it in the field below. (If you have a website we suggest you don't do this.)
Event Website
Would you like discount codes?

Would you like discount codes? Yes No
Please list any discount codes that you will need. (Optional)
Refund Policy

Example 1:
In the event that you are unable to attend the conference for any reason, we unfortunately cannot provide a refund.

Example 2:
There will be a $35 cancellation fee per person should you need to cancel for any reason prior to 4 business days before the retreat/conference. No refunds will be given for cancellations occurring within 4 business days of the retreat/conference.
The Refund & Privacy Policy above is attached to every Webconnex Form. If the cost is under $50 we recommend that you do not offer refunds. If you have any special edits to make to the policy, please list them below. Otherwise we will attach one of the above policies.
Confirmation Email

They will receive a confirmation email once registration is complete. We suggest you include the following information in your email.

Check in time, location, first session start, last session end, website, contact info, and any other info that you want them to know.
Please type out your confirmation email in the space given below, with the exact wording you would like us to use.
Subject Line
From (Who is the confirmation email coming from?)
Reply To (Email)
Is there any additional information that you would like us to know?
Form Deadline *Please give us 2 weeks to complete your form. Form Deadline

*Please give us 2 weeks to complete your form. / MM / DD YYYY
You will be contacted shortly regarding your form.

Online Registration Form Request (Webconnex)

Online Registration Form Request (Webconnex)

Event Info

Form Fields

Refund Policy

Confirmation Email