USA FORM

Full Name

Country

Select Your Country

State

Phone/Mobile

Registration Type

Virtual Attendees

$100.00

Payment Option/Boarding

Payment Type

Pay Full Amount Now (Registration + Room)

3 Nights 1 Occupant Room & board ($855) Registration ($100): Total Cost= $955

3 Nights 2 Occupants Room & board ($525) Registration ($100): Total Cost= $625

3 Nights 3 Occupants Room & board ($415) Registration ($100): Total Cost= $515

3 Nights 4 Occupants Room & board ($360) Registration ($100): Total Cost= $460

Pay Full Amount Now (Registration + Room)

4 Nights 1 Occupant Room & board ($1075) Registration ($100): Total Cost= $1175

4 Nights 2 Occupants Room & board ($635) Registration ($100): Total Cost= $735

4 Nights 3 Occupants Room & board ($490) Registration ($100): Total Cost= $590

4 Nights 4 Occupants Room & board ($415) Registration ($100): Total Cost= $515

Pay Full Amount Now (Registration + Room)

5 Nights 1 Occupant Room & board ($1290) Registration ($100): Total Cost= $1390

5 Nights 2 Occupants Room & board ($745) Registration ($100): Total Cost= $845

5 Nights 3 Occupants Room & board ($560) Registration ($100): Total Cost= $660

5 Nights 4 Occupants Room & board ($470) Registration ($100): Total Cost= $570

Pay Registration Fee Now, Room Payment Later (Closer to the Conference Date)

1 Occupant Registration ($100)

2 Occupants Registration ($100)

3 Occupants Registration ($100)

4 Occupants Registration ($100)

Confirm Boarding

Note: Registration is only confirmed after the registration fee is paid. Room payments must be completed on or before June 1st, 2026.

Payment Method

Automatic Payment Using PayPal

Pay Via Churchtrac

Payment Note:

Please click Pay Via Churchtrac if you are paying manually by using any of the offline payment options including Churchtrac which is mode1.

MODE 1:
Women intercessors for the church and the nations Churchtrac - https://wwwusa.churchtrac.com

Offline Payments:

MODE 2 VIA Zelle:
Send payment via Zelle to: wailersusa@yahoo.com

MODE 3 VIA Cashapp:
Send payment via Cashapp to: $wailersusa

Include your Full Name and Registration Category in the note.

Send proof of payment before submitting this form to: wailersusa@yahoo.com for confirmation.

Once payment is confirmed, you will receive a confirmation email.

Upload Proof Of Payment

Choose File

WWW USA 22nd National Conference

Payment Note:

Offline Payments: