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World Outreach Week Mobilizer Payment 2026

Registration cost: $25 per person per day

Each person must be registered (including spouses).

Registration includes a 4'x2.5' display table, access to electricity and tablecloth on request. It also includes a lunch ticket for each day on campus, parking passes, and access to all activities.

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Organization Information

Please specify the mission agency or organization you are representing.

Organization Name

Approval Code

Name of Person Making Payment

Email of Person Making Payment

Number of People You are Paying For

Mobilizer Information

First Name

Last Name

Email Address

Birthdate

Birthdate

Date of birth helps prevent duplicate records in our system and streamlines communication.

Number of days attending WOW

Mobilizer #2

First Name

Last Name

Email Address

Birthdate

Birthdate

Number of days attending WOW

Mobilizer #3

First Name

Last Name

Email Address

Birthdate

Birthdate

Number of days attending WOW

Mobilizer #4

First Name

Last Name

Email Address

Birthdate

Birthdate

Number of days attending WOW

Mobilizer #5

First Name

Last Name

Email Address

Birthdate

Birthdate

Number of days attending WOW

Mobilizer #6

First Name

Last Name

Email Address

Birthdate

Birthdate

Number of days attending WOW

Payment

How would you like to pay?

How would you like to pay?

Pay now via credit/debit card or electronic check

Pay later (by Aug. 21) via check

Total Due:

Please mail your check to:
Corban University
ATTN: World Outreach Week
5000 Deer Park Dr SE
Salem, OR 97317

Amount Due

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