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ARISE LATINO

REGISTRATION

STEP 1: Fill out the form below with your information. After clicking Register, go to step 2.

Registration Form

Name*

Last name*

Data de nascimento*

Month

Day

Year

Gender*

Email*

Phone*

Best way to communicate:*

Endereço*

County / Province

City*

State*

ZIP*

Country*

Church / Organization*

Position / title:*

Location (city/country):*

Any dietary restriction?

Yes

No

Select all that apply:

Vegetarian

Lactose intolerance

Gluten intolerance

Which language(s) do you speak?*

Português

Español

English

You will participate as:

Type of registration*

With accommodation - US$ 350

Without accommodation - U$ 250

Will you need transportation between your hotel and the conference venue during the week? The distance between the two is approximately a 10-minute drive.

Yes

No

STEP 2: Click PAY and you will be redirected to our Purpose Gateway page. At the top of the new page, choose the language in which you want to read the information and follow the instructions.

* Option with accommodation: U$ 350

* Option without accommodation: U$ 250

PAY

COMIBAM USA

Affiliated to:

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