Life Recon Registration & Payment Form
Please fill out this form by selecting individual or couple, date/location and the appropriate payment, then click submit.
If you have any questions please contact us at 866-218-1716 or email Lisa at lisa@loverecon.org.
We look forward to meeting and working with you.
*Required Fields
Life Recon
Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Phone
*
Co-Attendee Name
Co-Attendee Email
Sponsored By (If Applicable)
Promo Code (If Applicable)
Do you have any questions or information you feel we should know?
Select Event Date
*
Please select one option.
June 16 - 19, 2021 - Dallas, TX
July 14 - 17, 2021 - Atlanta, GA
September 8 - 11, 2021 - Atlanta, GA
November - TBD - Atlanta, GA
Select Option
June 16 - 19, 2021 - Dallas, TX
July 14 - 17, 2021 - Atlanta, GA
September 8 - 11, 2021 - Atlanta, GA
November - TBD - Atlanta, GA
Select Payment
LifeRecon - Couple ($295)
LifeRecon - Individual ($195)
LifeRecon - Sponsored
LifeRecon - Couple ($295)
LifeRecon - Individual ($195)
LifeRecon - Sponsored
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Please fill out this form by selecting individual or couple, date/location and the appropriate payment, then click submit.
If you have any questions please contact us at 866-218-1716 or email Lisa at lisa@loverecon.org.
We look forward to meeting and working with you.
*Required Fields
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