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Joel 2 Registration

Thank you for registering for the Joel2 Weekend. Please complete the form below. Internet banking payments: Please deposit to the following bank account : Christian Fellowship Trust 06 0746 0163500 08 Please enter your "name" in the details panel and "joel2" in the reference panel. If you intend to pay by cheque, please email or phone to confirm that the registration fee is on the way.
PERSONAL DETAILS
Surname *
First Name *
Email Address *
Home Address
Home Phone Number *
Mobile Number
What church you call home *
REGISTRATION
Earlybird - Paid by 12th April
 Single - $95
 Couple - $160
 Student/Benificiary - $80
Regular Pricing - Paid after 12th April
 Single - $120
 Couple - $200
 Student/Benificiary - $100
PREFERRED PAYMENT METHOD *
 Internet Banking
 Cheque
 EFTPOS/Cash
ACCOMMODATION *
 I have my own
 I will book my own motel
 Please consider me for billeting (limited availability)
 I will stay marae style (One big room)
SURVEY
How did you hear about Israel Mandate Assembly? *
 Gateways Website
 Radio Rhema
 Challenge Weekly
 Facebook
 Friends (email)
other (please describe)
How do you stay informed about Israel?
 Prayer for Israel
 Ebenezer
 Out of Zion (David and Jose Silver)
other (Please Describe)
* denotes required field
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