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2017-08-28T13:47:00+00:00
Registration Form For December Retreat 2017 (WCCRM)
Register Now and upload your ID photo.
Note: Registration will close on 30th November 2017
Mr
Mrs
Pastor
Miss
Bro
Sis
Surname:
Name:
Middle Name:
Email Address:
Address:
State:
Zip:
Country:
Phone Number:
Are you a Watchman? Or a Visitor?
Watchman
Visitor
Fellowship Center:
Country:
How many Adult ? between 14 years above
0
1
2
3
4
5
6
7
8
9
10
How many children? between 3 - 13 Year
0
1
2
3
4
5
6
7
8
9
10
How many infant? between 0 - 2 Years
0
1
2
3
4
5
6
7
8
9
10
Am paying full amount?
Am paying instrumental
Total amount:
€50
€30
€20
Attachment:
(Upload your ID)
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Payment:
Credit Card with Payza
Credit Card with Western Union
Bank Transfer
Paypal