form

Registration Form For December Retreat 2017 (WCCRM)
Register Now and upload your ID photo.
Note: Registration will close on 30th November 2017

Surname:

Name:

Middle Name:

Email Address:

Address:

State:

Zip:

Country:

Phone Number:

Are you a Watchman? Or a Visitor?
WatchmanVisitor

Fellowship Center:

Country:

How many Adult ? between 14 years above

How many children? between 3 - 13 Year

How many infant? between 0 - 2 Years

Am paying full amount?Am paying instrumental

Total amount:

€50€30€20

Attachment:
(Upload your ID)
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Payment: