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form 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

 

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: