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ICCM 2022 World Conference Registration Form HiddenHiddenPost Title Welcome Conference Attendee!*Please complete a separate registration for each person attending the conference.Click Here for Hotel Booking/RegistrationTitle(Required)Please SelectApostleBishopChaplainDr.EvangelistMinisterPastorReverendMr.Mrs.Ms.MissOtherYou Selected "Other." Please Indicate Title:(Required) Name(Required) First Last What is the name of your Church/Organization? Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact Email(Required) Contact Phone(Required)Cell Phone Carrier (To receive text message alerts) How did you hear about the ICCM World Conference?(Required)Please SelectICCM WebsiteEmail/NewsletterMailoutIndividual/ChurchSocial MediaSearch EngineRadioTVPastor/ChurchRegistration SelectionPlease select all Events you would like to attend. Items requiring special registration will include an asterisk (*) . Pre-registration is required to ensure receipt of any handouts or materials. Check-in & Onsite Registration from 8:00 AM - 9:00 AM (EST) (Tuesday, Wednesday, and Thursday).HiddenGeneral Conference Registration: $50.00 Select General Conference Registration Selected Price: Tuesday, July 26, 2022HiddenFinancial Prosperity Seminar: FREE Select Power To Prosper Seminar Selected Price: Financial & Wealth Explosion, 1:30 PM Select Tuesday Lunch Ticket: $15.00 Select Delicious home-cooked, catered meal. Menu available at Conference. Tickets must be pre-purchased to guarantee availability.Tuesday Lunch Ticket Selected Price: Special Miracle Service, 6:30 PM Select Wednesday, July 27, 2022HiddenPastors & Leaders Mentoring Session: FREE Select Separate registration is REQUIRED.Winning In Business & Ministry, 9:00 AM: FREE Select Separate registration is REQUIRED.Wednesday Lunch Ticket: $15.00 Select Delicious home-cooked, catered meal. Menu available at Conference. Tickets must be pre-purchased to guarantee availability.Wednesday Lunch Ticket Selected Price: Thursday, July 28, 2022Power Session, 9:00 AM Select Thursday Lunch Ticket: $15.00 Select Delicious home-cooked, catered meal. Menu available at Conference. Tickets must be pre-purchased to guarantee availability.Thursday Lunch Ticket Selected Price: Seven On Seven - Women, 1:00 PM Select Power Session, 2:00 PM Select Special Evening Service, 6:30 PM Select Friday, July 29, 2022Breakfast with Dr. Chitwood: $25.00 Select Only 200 seats available. Ticket is REQUIRED.Breakfast with Dr. Chitwood, Selected Price: Power Session, 9:00 AM Select Elite Luncheon: $25.00 Select Special Guest Speaker. Ticket is REQUIRED.Elite Luncheon Selected Price: Seven On Seven - Young People, 2:00 PM Select Seven On Seven - Men, 2:15 PM Select Power Session, 3:00 PM Select Special Evening Service, 6:30 PM Select Saturday, July 30, 2022Ordination, Consecration, Communion, & Anointing Service: 9:00 AM (EST) Select Photographs with the ICCM Board of Governors Select Sunday, July 31, 2022Sunday Service: 10:00 AM (EST) Select * Please note that the Event Schedule is subject to change without notice.Choir & VolunteersICCM Mass Choir Select Yes! I would like to participate in the Prestigious ICCM Mass Choir. I understand that I must be at rehearsal on Tues., July. 26, and Wed., July. 27, at 6:30 PM.ICCM Volunteer: I would like to use my Spiritual Talent in the following areas: Greeter Hospitality Parking Lot Attendant Usher Wherever I'm needed TransportationICCM Bus Transportation Select Yes! I would like to receive more information about bus transportation. (Email address required.)* ICCM is not responsible for providing transportation to and from the ICCM World Theatre. Bus transportation MAY BE provided but is not guaranteed. * If offered, bus transportation will only be provided to and from Embassy Suites Chattanooga/Hamilton Place and Country Inn & Suites by Carlson Chattanooga at Hamilton Place Mall. * ICCM is not responsible for any other transportation needs. Total Payment InformationRefund PolicyDue to limited seating and availability there will be No Refunds for any reason. HiddenCredit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Expiration Month010203040506070809101112 Year Expiration Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name Field Label Billing address is same as Contact address Billing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Total I agree to receiving marketing and promotional materials. 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