Seminar Preregistration

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Seminar Preregistration Form

(must be submitted by March 22)

2013 ECK Springtime Seminar
March 29–31, 2013
Minneapolis, Minnesota

Preregistering for an ECK seminar benefits you in two ways:

1. the requested seminar donation is lower (see table below), and
2. you will receive a seminar badge by mail in advance, which saves waiting in line for at-the-door registration.

If you prefer, you can always register in person at the seminar instead.

To preregister online, enter the requested information below, print a copy of this form for your records, and click Continue at the bottom of this page. To preregister by phone, or if you have any questions, please contact us.

More Seminar Links
	New to ECK? Be Our Guest! (PDF)
	Seminar Brochure (PDF)
	Seminar at a Glance (PDF)
Preregister Now Make Your Housing Reservations The Seminar Experience Read what attendees say about ECK seminars. Broadcast Sign-up (Available in video and audio.)

Preregistration Information

Boldfaced items below are required. Seminar badge(s) will be mailed to this address.

To learn how we protect your personal information, please read our privacy policy.

First (given) name
Last name (surname)
Mailing address 1
Address 2
City
State/Province	Select StateOutside USA/Canada/Australia Alabama AlaskaAmerican SamoaArizona ArkansasArmed Forces Americas excl. domestic/CanArmed Forces Eur/Can/MiddleEast/Africa Armed Forces PacificCaliforniaColorado ConnecticutDelawareDistrict of Columbia FloridaGeorgiaGuam HawaiiIdahoIllinois IndianaIowaKansas KentuckyLouisianaMaine Marshall IslandsMarylandMassachusetts MichiganMinnesotaMississippi MissouriMontanaNebraska NevadaNew HampshireNew Jersey New MexicoNew YorkNorth Carolina North DakotaNorthern Mariana IslandsOhio OklahomaOregonPalau PennsylvaniaPuerto RicoRhode Island South CarolinaSouth DakotaTennessee TexasUtahVermont Virgin IslandsVirginiaWashington West VirginiaWisconsinWyoming AlbertaBritish ColumbiaManitoba New BrunswickNewfoundland and LabradorNorthwest Territories Nova ScotiaNunavutOntario Prince Edward IslandQuebecSaskatchewan Yukon Australian Capital TerritoryNew South Wales Northern TerritoryQueenslandSouth Australia TasmaniaVictoriaWestern Australia
Zip/Postal Code	(required for Australia, Canada, United Kingdom, and United States)
Country	Select Country--------------United States and Territories-------------- AfghanistanAlbaniaAlgeriaAndorra AngolaAnguillaAntigua and BarbudaArgentina ArmeniaArubaAustraliaAustria AzerbaijanBahamasBahrainBangladesh BarbadosBelarusBelgiumBelize BeninBermudaBhutanBolivia Bosnia-HerzegovinaBotswanaBrazilBritish Virgin Islands Brunei DarussalamBulgariaBurkina FasoBurundi CambodiaCameroonCanadaCape Verde Cayman IslandsCentral African RepublicChadChile ColombiaComorosCongo, Republic of theCosta Rica Cote d'IvoireCroatiaCyprusCzech Republic Democratic Republic of CongoDenmarkDjiboutiDominica Dominican RepublicEcuadorEl SalvadorEquatorial Guinea EritreaEstoniaEthiopiaFalkland Islands Faroe IslandsFijiFinlandFrance French GuianaFrench PolynesiaGabonGambia Georgia, Republic ofGermanyGhanaGibraltar GreeceGreenlandGrenadaGuadeloupe GuatemalaGuineaGuinea-BissauGuyana HaitiHondurasHong KongHungary IcelandIndiaIndonesiaIreland IsraelItalyJamaicaJapan JordanKazakhstanKenyaKiribati Korea, Republic ofKosovo, Republic ofKuwaitKyrgyzstan LaosLatviaLebanonLesotho LiberiaLiechtensteinLithuaniaLuxembourg MacaoMacedonia, Republic ofMadagascarMalawi MalaysiaMaldivesMaliMalta MartiniqueMauritaniaMauritiusMexico MoldovaMonacoMongoliaMontenegro MontserratMoroccoMozambiqueMyanmar NamibiaNauruNepalNetherlands Netherlands AntillesNew CaledoniaNew ZealandNicaragua NigerNigeriaNorthern IrelandNorway OmanPakistanPanamaPapua New Guinea ParaguayPeruPhilippinesPitcairn Island PolandPortugalQatarReunion RomaniaRussiaRwandaSaint Christopher and Nevis Saint HelenaSaint LuciaSaint Pierre and MiquelonSan Marino Sao Tome and PrincipeSaudi ArabiaSenegalSerbia, Republic of SeychellesSierra LeoneSingaporeSlovakia SloveniaSolomon IslandsSouth AfricaSpain Sri LankaSt Vincent and the GrenadinesSudanSuriname SwazilandSwedenSwitzerlandTaiwan TajikistanTanzaniaThailandTogo TongaTrinidad and TobagoTristan da CunhaTunisia TurkeyTurkmenistanTurks and Caicos IslandsTuvalu UgandaUkraineUnited Arab EmiratesUnited Kingdom UruguayUzbekistanVanuatuVatican City VenezuelaVietnamWallis and Futuna IslandsWestern Samoa ZambiaZimbabwe
E-mail	(To receive registration confirmation and other information from Eckankar via e-mail)

Phone	Country	Country Code	Area Code-Phone No.
Daytime	Select CountrySelect Country--------------United States and TerritoriesAfghanistan AlbaniaAlgeriaAndorraAngola AnguillaAntigua and BarbudaArgentinaArmenia ArubaAustraliaAustriaAzerbaijan BahamasBahrainBangladeshBarbados BelarusBelgiumBelizeBenin BermudaBhutanBoliviaBosnia-Herzegovina BotswanaBrazilBritish Virgin IslandsBrunei Darussalam BulgariaBurkina FasoBurundiCambodia CameroonCanadaCape VerdeCayman Islands Central African RepublicChadChileColombia ComorosCongo, Republic of theCosta RicaCote d'Ivoire CroatiaCyprusCzech RepublicDemocratic Republic of Congo DenmarkDjiboutiDominicaDominican Republic EcuadorEl SalvadorEquatorial GuineaEritrea EstoniaEthiopiaFalkland IslandsFaroe Islands FijiFinlandFranceFrench Guiana French PolynesiaGabonGambiaGeorgia, Republic of GermanyGhanaGibraltarGreece GreenlandGrenadaGuadeloupeGuatemala GuineaGuinea-BissauGuyanaHaiti HondurasHong KongHungaryIceland IndiaIndonesiaIrelandIsrael ItalyJamaicaJapanJordan KazakhstanKenyaKiribatiKorea, Republic of Kosovo, Republic ofKuwaitKyrgyzstanLaos LatviaLebanonLesothoLiberia LiechtensteinLithuaniaLuxembourgMacao Macedonia, Republic ofMadagascarMalawiMalaysia MaldivesMaliMaltaMartinique MauritaniaMauritiusMexicoMoldova MonacoMongoliaMontenegroMontserrat MoroccoMozambiqueMyanmarNamibia NauruNepalNetherlandsNetherlands Antilles New CaledoniaNew ZealandNicaraguaNiger NigeriaNorthern IrelandNorwayOman PakistanPanamaPapua New GuineaParaguay PeruPhilippinesPitcairn IslandPoland PortugalQatarReunionRomania RussiaRwandaSaint Christopher and NevisSaint Helena Saint LuciaSaint Pierre and MiquelonSan MarinoSao Tome and Principe Saudi ArabiaSenegalSerbia, Republic ofSeychelles Sierra LeoneSingaporeSlovakiaSlovenia Solomon IslandsSouth AfricaSpainSri Lanka St Vincent and the GrenadinesSudanSurinameSwaziland SwedenSwitzerlandTaiwanTajikistan TanzaniaThailandTogoTonga Trinidad and TobagoTristan da CunhaTunisiaTurkey TurkmenistanTurks and Caicos IslandsTuvaluUganda UkraineUnited Arab EmiratesUnited KingdomUruguay UzbekistanVanuatuVatican CityVenezuela VietnamWallis and Futuna IslandsWestern SamoaZambia Zimbabwe
Evening	Select CountrySelect Country--------------United States and TerritoriesAfghanistan AlbaniaAlgeriaAndorraAngola AnguillaAntigua and BarbudaArgentinaArmenia ArubaAustraliaAustriaAzerbaijan BahamasBahrainBangladeshBarbados BelarusBelgiumBelizeBenin BermudaBhutanBoliviaBosnia-Herzegovina BotswanaBrazilBritish Virgin IslandsBrunei Darussalam BulgariaBurkina FasoBurundiCambodia CameroonCanadaCape VerdeCayman Islands Central African RepublicChadChileColombia ComorosCongo, Republic of theCosta RicaCote d'Ivoire CroatiaCyprusCzech RepublicDemocratic Republic of Congo DenmarkDjiboutiDominicaDominican Republic EcuadorEl SalvadorEquatorial GuineaEritrea EstoniaEthiopiaFalkland IslandsFaroe Islands FijiFinlandFranceFrench Guiana French PolynesiaGabonGambiaGeorgia, Republic of GermanyGhanaGibraltarGreece GreenlandGrenadaGuadeloupeGuatemala GuineaGuinea-BissauGuyanaHaiti HondurasHong KongHungaryIceland IndiaIndonesiaIrelandIsrael ItalyJamaicaJapanJordan KazakhstanKenyaKiribatiKorea, Republic of Kosovo, Republic ofKuwaitKyrgyzstanLaos LatviaLebanonLesothoLiberia LiechtensteinLithuaniaLuxembourgMacao Macedonia, Republic ofMadagascarMalawiMalaysia MaldivesMaliMaltaMartinique MauritaniaMauritiusMexicoMoldova MonacoMongoliaMontenegroMontserrat MoroccoMozambiqueMyanmarNamibia NauruNepalNetherlandsNetherlands Antilles New CaledoniaNew ZealandNicaraguaNiger NigeriaNorthern IrelandNorwayOman PakistanPanamaPapua New GuineaParaguay PeruPhilippinesPitcairn IslandPoland PortugalQatarReunionRomania RussiaRwandaSaint Christopher and NevisSaint Helena Saint LuciaSaint Pierre and MiquelonSan MarinoSao Tome and Principe Saudi ArabiaSenegalSerbia, Republic ofSeychelles Sierra LeoneSingaporeSlovakiaSlovenia Solomon IslandsSouth AfricaSpainSri Lanka St Vincent and the GrenadinesSudanSurinameSwaziland SwedenSwitzerlandTaiwanTajikistan TanzaniaThailandTogoTonga Trinidad and TobagoTristan da CunhaTunisiaTurkey TurkmenistanTurks and Caicos IslandsTuvaluUganda UkraineUnited Arab EmiratesUnited KingdomUruguay UzbekistanVanuatuVatican CityVenezuela VietnamWallis and Futuna IslandsWestern SamoaZambia Zimbabwe
Mobile	Select CountrySelect Country--------------United States and TerritoriesAfghanistan AlbaniaAlgeriaAndorraAngola AnguillaAntigua and BarbudaArgentinaArmenia ArubaAustraliaAustriaAzerbaijan BahamasBahrainBangladeshBarbados BelarusBelgiumBelizeBenin BermudaBhutanBoliviaBosnia-Herzegovina BotswanaBrazilBritish Virgin IslandsBrunei Darussalam BulgariaBurkina FasoBurundiCambodia CameroonCanadaCape VerdeCayman Islands Central African RepublicChadChileColombia ComorosCongo, Republic of theCosta RicaCote d'Ivoire CroatiaCyprusCzech RepublicDemocratic Republic of Congo DenmarkDjiboutiDominicaDominican Republic EcuadorEl SalvadorEquatorial GuineaEritrea EstoniaEthiopiaFalkland IslandsFaroe Islands FijiFinlandFranceFrench Guiana French PolynesiaGabonGambiaGeorgia, Republic of GermanyGhanaGibraltarGreece GreenlandGrenadaGuadeloupeGuatemala GuineaGuinea-BissauGuyanaHaiti HondurasHong KongHungaryIceland IndiaIndonesiaIrelandIsrael ItalyJamaicaJapanJordan KazakhstanKenyaKiribatiKorea, Republic of Kosovo, Republic ofKuwaitKyrgyzstanLaos LatviaLebanonLesothoLiberia LiechtensteinLithuaniaLuxembourgMacao Macedonia, Republic ofMadagascarMalawiMalaysia MaldivesMaliMaltaMartinique MauritaniaMauritiusMexicoMoldova MonacoMongoliaMontenegroMontserrat MoroccoMozambiqueMyanmarNamibia NauruNepalNetherlandsNetherlands Antilles New CaledoniaNew ZealandNicaraguaNiger NigeriaNorthern IrelandNorwayOman PakistanPanamaPapua New GuineaParaguay PeruPhilippinesPitcairn IslandPoland PortugalQatarReunionRomania RussiaRwandaSaint Christopher and NevisSaint Helena Saint LuciaSaint Pierre and MiquelonSan MarinoSao Tome and Principe Saudi ArabiaSenegalSerbia, Republic ofSeychelles Sierra LeoneSingaporeSlovakiaSlovenia Solomon IslandsSouth AfricaSpainSri Lanka St Vincent and the GrenadinesSudanSurinameSwaziland SwedenSwitzerlandTaiwanTajikistan TanzaniaThailandTogoTonga Trinidad and TobagoTristan da CunhaTunisiaTurkey TurkmenistanTurks and Caicos IslandsTuvaluUganda UkraineUnited Arab EmiratesUnited KingdomUruguay UzbekistanVanuatuVatican CityVenezuela VietnamWallis and Futuna IslandsWestern SamoaZambia Zimbabwe

Use the spaces below to preregister any other members of your family, living in the same household, who will attend the seminar. Do not list children under age 5 (you are welcome to bring them to the seminar).

			Member
Name	Category	Donation	Number
	Select Type Adult Member Additional Adult Family Member College student (18–22 yrs) Youth (13–17 yrs) Youth (5–12 yrs) Guest (Adult)—Sat only Guest (Adult)—All days
	Select Type Adult Member Additional Adult Family Member College student (18–22 yrs) Youth (13–17 yrs) Youth (5–12 yrs) Guest (Adult)—Sat only Guest (Adult)—All days
	Select Type Adult Member Additional Adult Family Member College student (18–22 yrs) Youth (13–17 yrs) Youth (5–12 yrs) Guest (Adult)—Sat only Guest (Adult)—All days
	Select Type Adult Member Additional Adult Family Member College student (18–22 yrs) Youth (13–17 yrs) Youth (5–12 yrs) Guest (Adult)—Sat only Guest (Adult)—All days
	Select Type Adult Member Additional Adult Family Member College student (18–22 yrs) Youth (13–17 yrs) Youth (5–12 yrs) Guest (Adult)—Sat only Guest (Adult)—All days
	Select Type Adult Member Additional Adult Family Member College student (18–22 yrs) Youth (13–17 yrs) Youth (5–12 yrs) Guest (Adult)—Sat only Guest (Adult)—All days
	Select Type Adult Member Additional Adult Family Member College student (18–22 yrs) Youth (13–17 yrs) Youth (5–12 yrs) Guest (Adult)—Sat only Guest (Adult)—All days

Requested Seminar Donation

Members—For all sessions	Preregistration	At the door
Adult member	$175.00	$195.00
Additional adult family member	$90.00	$110.00
College student (18–22 yrs)	$40.00	$50.00
Youth (13–17 yrs)	$35.00	$45.00
Youth (5–12 yrs)	$25.00	$30.00
Hotel and Temple busing donation suggested	$5.00 for each adult
Guest (nonmember)
Guest (adult)—Saturday only	Complimentary	Complimentary
Guest (adult)—All days	$20.00	$30.00

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