Seminar Pre-Registration 1

Step 1 Attendee Information

Step 2 Review

Step 3 Donation

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.

Name

First Name

Last Name

Mailing Address

Mailing Address 1

Address 2

City

State/Province

Zip/Postal Code

(required for Australia, Canada, United Kingdom, and United States)

Country

(To receive registration confirmation and other information from Eckankar via email)

Requested Seminar Donation

Preregistration

Members—For All Sessions

Adult
$185
Additional Adult
$90
College Student (18–22 yrs)
$40
Youth (13–17 yrs)
$35
Youth (5–12 yrs)
$25

At The Door

Members—For All Sessions

Adult
$200
Additional Adult
$110
College Student (18–22 yrs)
$50
Youth (13–17 yrs)
$45
Youth (5–12 yrs)
$30

Suggested Donation for Busing between Hotel and Temple:
$5.00 for each adult

Guests/New Visitors

All Days Complimentary

Phone

Cell/Mobile

Country Code

Area Code-Phone Number

Daytime

Country Code

Area Code-Phone Number

Evening

Country Code

Area Code-Phone Number

Attendees

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

STEP 2: Review

October 22–24, 2021

Secrets of Divine Creativity

Name

Mailing Address

Requested Seminar Donation

Preregistration

At The Door

Guests/New Visitors

All Days Complimentary

Phone

Attendees