watch video

Asia-Pacific Regional Conference
Chiang Mai, Thailand / October 18-22, 2019

Basic Info



Primary Contact Person


  • The participant's full name as it appears on his/her passport
  • The person in charge of the participant's accommodations for the event.
  • The person who should be contacted for questions, changes, or payment information.
  • The primary contact person could be the team leader/coordinator (if team leader/coordinator is registering on behalf of the delegate) or the delegate him/herself (if the delegate will register on his/her own).

Personal Information


Personal information of each of the delegates
Passport Information

Accomodation

  • Unleash is from October 18-22. Plan to arrive on October 17 and depart on October 23 unless you are attending another event surrounding the regional conference.
  • Please make sure to include all dates of stay to ensure that delegates will have accommodations until the time they leave Chiang Mai.
  • Please indicate also in the “Notes” section your reasons for staying prior to or after Unleash and/or the event you will be attending aside from Unleash.(i.e Theology Conf., RAC, RLT, Missionary Retreat, etc.).

Review Form


Basic Info
Are you from Thailand?:
How are you registering?:
Primary Contact Person
Name:
Email Address:
Mailing Address:
Telephone Number
(include country code):
Cellphone/Mobile Number
(include country code):
Notes:
Personal Information

Will you attend the Regional Theology Conference on October 22-23, 2019?
Gender:
Age:
Name as you would like to appear on your ID:
Email Address:
Mailing Address:
Telephone Number
(include country code):
Cellphone/Mobile Number
(include country code):
Passport Number:
Issuing Country:
Expiry Date:
Check-In:
Check-Out:
Translation Language:
Do you have food allergies?:
Notes: