Looks like you haven’t finished your registration yet. Finish here and then you can sign up for activities: Step 1 of 6 16% HiddenNext Steps: Install a Payment Add-OnTo accept payments on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.Contact DetailsName(Required)As you prefer it to appear on your Event Pass First Last Email(Required)How to connect and receive Freedom Summit info and updates. Enter Email Confirm Email Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands HiddenDate MM slash DD slash YYYY Some more about you...Have you led an Exodus fraternity? Yes No Not sure Date of Birth MM slash DD slash YYYY T-shirt size(Required) Small Medium Large X-Large 2XL 3XL 4XL How did you hear about the Freedom Summit?EmailExodus appFrom an Exodus brotherFrom my pastorPast ParticipantOther"Other" - How did you hear about the Freedom Summit? Name of Man Who Referred You to The Summit:If applicable. Your Event PassWould you prefer a roommate or to room alone?(Required) Double Occupancy (with Roommate) - $1,199 Single Occupancy (without Roommate) - $1,499 Event Pass price $0.00 Includes room, meals, program, and transportation between Denver Airport and Estes Park.Have a discount code? Enter it here!Note: Discount codes are not stackable with other Early Bird discounts. Exodus+ members have a special discount code. Can't find yours? Contact our team at support@exodus90.com LAUNCH discount (until May 2nd) $0.00 EARLY BIRD discount (until May 31st) $0.00 Early Registration discount (until July 7th) $0.00 Registration discount (until Sept. 1st) $0.00 Subtotal Preferred Roommate Name (if known) Preferred Roommate Email (if known) Payment PlanPay the full amount today or make a non-refundable deposit with monthly payments?(Required) Pay the full amount today Make a non-refundable deposit ($99) Due today HiddenDouble Occupancy remainder to be paid in monthly installments $0.00 HiddenSingle Occupancy remainder to be paid in monthly installments $0.00 HiddenExodus+ Double Occupancy remainder to be paid in monthly installments $0.00 Payment Schedule (Exodus+ Members):Remaining payment schedule: $250 due by 6/1/2023, $250 due by 7/1/2023, and $250 due by 8/1/2023 Payment Schedule (Special Discount):Remaining payment schedule: $250 due by 6/1/2023, $250 due by 7/1/2023, and $250 due by 8/1/2023 Payment Schedule (Double Occupancy w/ Launch Discount):Remaining payment schedule: $250 due by 6/1/2023, $250 due by 7/1/2023, and $250 due by 8/1/2023 Payment Schedule (Single Occupancy w/ Launch Discount)Remaining payment schedule: $350 due by 6/1/2023, $350 due by 7/1/2023, and $350 due by 8/1/2023 Payment Schedule (Double Occupancy w/ Early Bird Discount):Remaining payment schedule: $250 due by 6/1/2023, $275 due by 7/1/2023, and $275 due by 8/1/2023 Payment Schedule (Single Occupancy w/ Early Bird Discount):Remaining payment schedule: $350 due by 6/1/2023, $375 due by 7/1/2023, and $375 due by 8/1/2023 Payment Schedule (Double Occupancy w/ Early Reg Discount):Remaining payment schedule: $300 due by 7/15/2023, $300 due by 8/15/2023, and $300 due by 9/15/2023 Payment Schedule (Single Occupancy w/ Early Reg Discount):Remaining payment schedule: $400 due by 7/15/2023, $400 due by 8/15/2023, and $400 due by 9/15/2023 Payment Schedule (Double Occupancy w/ Discount):Remaining payment schedule: $300 due by 8/1/2023, $350 due by 9/1/2023, and $350 due by 10/1/2023 Payment Schedule (Single Occupancy w/ Discount):Remaining payment schedule: $400 due by 8/1/2023, $450 due by 9/1/2023, and $450 due by 10/1/2023 HiddenPayment plan consent(Required) I understand that I will make a non-refundable deposit of $99 and then will be invoiced the remaining amount of my Event Pass. Help an Exodus BrotherWould you like to support another Exodus man by making it free or more affordable for him? Yes No Maybe later Sponsor-A-Brother. How much would you like to contribute toward an Exodus man's ticket. $250 $500 $750 $849 Other Enter the amount you'd like to contribute: Sponsor-A-Brother contribution $0.00 Total to be paid today Payment InformationTotal to be paid today Credit Card(Required)Card Details Cardholder Name Consent(Required) I agree to the Freedom Summit Terms & Conditions
