Fibana Registration

The Fellowship of Indian

Brethren Families in North America

Conference Registration

First Name: * {{err_fname}}

Last Name: * {{err_lname}}

Address: * {{err_address}}

Country:

State: * {{err_state}}

City:

Zip/ Postal code:

Home Phone:

Mobile: * {{err_mobile}}

Email Address: * {{err_email_address}}

Assembly Name:

Assembly City:

(If your assembly is not in the above list, Please select other and add your assembly):

Cancel

Add members and select package

(Don't forget to add yourself)

For each member enter information here and click Add Member

First Name:

Last Name:

Gender:

Age Group:

Relationship:

Package:

Package Details

Package 1, 2 and 3 must choose "Single person includes room charges" for at least one person.

Commuters select Package 5 ------ Hotel room only select Package 4

Room & Board 4 people can stay in one room	Single person includes room charge	Additional Adult	Additional Child 4 -10	Child 4 and below
{{package.package_name}} {{package.package_description}} {{package.hotel_name}}	{{package.pcost_single_person}}	{{package.pcost_additional_adult}}	{{package.pcost_child_4_10}}	{{package.pcost_additioal_child_0_4}}	{{package.other}}				{{package.other}}				{{package.other}}				{{package.other}}				{{package.other}}

Registration Fees	Family	Individual
Lodging at Hotel	{{fee.family_registration_fees}}	{{fee.individual_registration_fees}}
Daily Commuter	{{fee.family_commuter_fees}}	{{fee.individual_commuter_fees}}

No Any Member Yet

	Family Id	Member ID	First Name	Last Name	Gender	Age Group	Relationship	Package	Reg Fees	Cost
	{{all_member.user_id}}	{{all_member.member_id}}	{{all_member.mem_fname}}	{{all_member.mem_lname}}	{{all_member.gender}}	{{all_member.age_group}}	{{all_member.relation}}	{{all_member.package}}	{{all_member.reg_fees}}	{{all_member.cost}}
Registration Fees :										${{total_fees}}.00
Total :										${{final_cost}}.00

If you choose package 4 enter number of days you will stay in hotel

Days	Cost	Total
{{all_meal.days}}	{{all_meal.cost}}	${{all_meal.total}}.00	✕
	Total:	${{total}}.00

Your Registration is not complete until you SUBMIT YOUR REGISTRATION at the last page and receive the confirmation email or phone call from the FIBA representatives.

After all Members are added click Continue Registration

Do You Need Extra Room during the conference

Yes No

Days	Room	Cost	Total
		${{extra_r.cost}}	${{extra_r.total}}.00	✕
		Total:	${{extra_total_cost}}.00

Do you need rooms before or after the conference

Yes No

Days before the Conference	Days after the Conference	Total Days	Room Cost	Total
		{{conf_bf.total_day}}	${{conf_bf.room_cost}}	${{conf_bf.total}}.00	✕
			Total:	${{befor_after_cost}}.00

Are You or any one in your family attending Children's or Youth session

yes No

Name	Age
{{name.mem_fname}} {{name.mem_lname}}

Any children under the age of 18 registering and their parents are not accompanying them

yes No

Would you like to make a donation to FIBA Ministries

Yes No

Amount
$	✕

Total Cost

Total = ${{get_final_payment}}.00

Payment Method :

Pay with Credit/Debit card

Pay by Check

Pay at Conference site

By Submitting you are agreeing to the Terms and Conditions of the conference. The requests will be dealt with based on the chronological order of arrival of the Registration (Web and Mail).

After completing the on-line form or mail, we will confirm your registration by e-mail or phone. Your registration is not complete until you receive the confirmation email or phone call from the FIBA representatives.

Exit FIBA Registration

No Individual Meals Yet

	Individual Meals	Qty	Cost	Total
✕	{{g_meal.individual_meal}} ({{g_meal.age}})	{{g_meal.qty}}	${{g_meal.cost}}	${{ (g_meal.cost\|number) * (g_meal.qty\|number) }}
			Sub Total:	${{total_cost}}.00

Review Registration

Contact Information :

{{usr.f_name}} {{usr.l_name}}

Address : {{usr.address}} {{usr.city}} {{usr.state}} {{usr.country}}

Phone : {{usr.mobile}}

Email Address : {{usr.email}}

Family & Package Information :

Family Id	Member ID	First Name	Last Name	Gender	Age Group	Relationship	Package	Reg Fees	Cost
{{member.user_id}}	{{member.member_id}}	{{member.mem_fname}}	{{member.mem_lname}}	{{member.gender}}	{{member.age_group}}	{{member.relation}}	{{member.package}}	{{member.reg_fees}}	{{member.cost}}
Registration Fees :									${{fees}}.00
Total :									${{total}}.00

General Information :

Package 4 number of days you will stay in hotel-: {{package_4}}

Do You Need Extra Room during the conference-: {{extra_room}}

Do you need rooms before or after the conference-: {{conf_bf}}

Would you like to make a donation to FIBA Ministries-: {{donation}}

Payment Method-: {{payment_method}}

Total Cost-: {{get_final_payment}}

Your registration is not complete until you SUBMIT YOUR REGISTRATION and receive the confirmation email or phone call from the FIBA representatives