Registration with Offline Payment

This sample registration form shows how you can easily build an online registration form with FormSmarts and allow offline payment.

First Name Last Name Email Address City Zip Code State Country

Registration Package Standard Registration ($50 USD) Premium Registration ($90 USD) Corporate Registration ($200 USD)

Accommodation Package None 2 Days in 3 Star Hotel ($300 USD) 2 Days in 4 Star Hotel ($550 USD)

I'm also buying the t-shirt of the event ($10 USD)

I have read and agree to the waiver I have read and accept the Terms of Service and Privacy Policy.