b'REGISTRATION Please print one name per form. Photocopy as needed.You can use this form to register at any time, or go to www.citygatenetwork.org/2021conf. NameFirst Name (for badge) Mission/Organization Address Citygate Network City State/Province ZIP/Postal Code 108th Annual Conference and Exposition September 1619, 2021Phone EmailHilton Baltimore Inner HarborI am:\x02attending my first conference \x02an Emerging Leader(20s and 30s) \x02a vegetarian\x02gluten free401 West Pratt Street Baltimore, MD 21201 Check the ONE profession group that comes closest to describing your primary involvement with life-transformation ministry.\x02Board\x02Pastoral Care\x02Vocational Education\x02Facility Management\x02Executive Leadership (CEOs)\x02Case Management\x02Development\x02Information TechnologyRegister online at\x02Associate Leadership\x02Counseling\x02Human Resources\x02Administrative Assistancewww.citygatenetwork.org/2021conf Financial Management\x02Addiction Specialization\x02Volunteer Coordination\x02Entrepreneurship \x02 Online registration not available for non-members. Program Management\x02Youth Ministry\x02Food Services \x02QUESTIONS? Call us at (719) 266-8300.FULL-TIME PROGRAM FEES Mail to: Citygate Network Register early for the best rates! 2153 Chuckwagon Road, Suite 100 Colorado Springs, CO 80919 Fax to: (719) 266-8600 Faxed or completed online Through Apr. 30May 1-Aug. 31 After Aug. 31 Your fees Conference Registration Details1st Person $529 $559 $589 $The rates shown apply to individual and associate 2nd Person(from same mission/organization) $519 $549 $579 $members and their spouses, plus any other board 3rd Person(from same mission/organization) $509 $539 $569 $and staff members of member missions. All regis-4th Person(and more) $499 $529 $559 $ tration fees are always transferable to a previous-ly unregistered guest from a member mission. Any PART-TIME PROGRAM FEESregistration changes or additions after August 31 must be made on-site at the Hilton Baltimore \x02 Thursday, Sept. 16 Includes general session, seminar, district mixer,Inner Harbor. Registrations canceled beforeand exhibit hall with appetizers. $109 $ February 28 will not be assessed a cancelation \x02 Friday, Sept. 17 Includes three general sessions, seminar, professional networking, fee. Registrations canceled between March 1 and and exhibit hall coffee, dinner, and dessert.$179 $ June 30 will be assessed a $75 cancelation fee \x02 Saturday, Sept. 18 Includes two general sessions, two seminars, exhibit hall breakfast,per person. If canceled after June 30, they will be lunch, and dinner, and district dessert. $239 $assessed a $150 cancelation fee per person. Only in cases of family emergencies might the can-\x02 Sunday, Sept. 19 Includes seminar and general session.$69 $celation fee be waived. All refund requests must \x02 Spouse Sampler See details (right). $319 $be in writing and received by Citygate Network no later than Friday, Sept. 24, 2021. OPTIONAL PROGRAM FEES Spouse Sampler\x02 Washington Field Trip Includes lunch at Central Union Mission, dinner,Citygate Network is again offering a spouse rate and transportation to Baltimore. Wednesday, Sept. 15, 11:00 a.m.7:00 p.m.$79 $this year that includes: (1) general sessions and \x02 Leading Ladies Retreat Includes dinner, The Samaritan Women tour, and lunch. associated meals; (2) district desserts; and (3) Wednesday, Sept. 15, 5:30 p.m.Thursday, Sept. 16, 12:15 p.m.$129 $Exhibit Hall pass and meals. It is only for spouses \x02 Helping Up Mission Tour Includes lunch and transportation. who are NOT working full-time at a member Sunday, Sept. 19, 12:45 p.m.4:30 p.m. $32 $mission. Seminars, including those with meals, Total $and other sessions are NOT included.+Those not affiliated with a Citygate Network member organization, add 40%$Hotel Reservations DetailsTo book your room at the Hilton Baltimore Amount Enclosed$ Inner Harbor ($135/night single/double), visit www.citygatenetwork.org/2021hotel. \x02 Check Enclosed(Make check payable to Citygate Network; enclose total amount; manualState and local taxes apply. registrations with checks must be received by the stated deadlines to qualify for discounts.) \x02 Credit Card T N A T R O P M I 1. Hotel reservations will also be refundable through March 31, 2021. Beginning April 1, Card Number Exp. Date hotel reservations require a non-refundable first night charge. Cardholder Name CVC Code 2. Conference attendees not staying at the Hilton Baltimore Inner Harbor, and those who Billing Address of Card(if different from above) made their reservations through an online discounter/consolidator, may be assessed an CityState/Province ZIP/Postal Code $80 or more conference facility usage fee, payable upon check-in at the Citygate Cardholder SignatureNetwork Registration/Information Desk.'