Discovery Seminar
REGISTRATION FORM

Kindly print form & make cheque payable to 'NECF Malaysia'
and send it 32, SS2/103, 47300 Petaling Jaya, Selangor

Name:
Name of Church:
 
Mailing Address:

Email:
Tel:                                                     Handphone:
Designation:
 
I would like to attend  2 days (A - RM100) or  3 days (B - RM110) the Discovery Seminar
 
Signature:
 
Cheque No.                 amount                 as my/our registration for            person(s*)

Cheque crossed and make payable to: NECF Malaysia   32, Jalan SS 2/103, 47300 Petaling Jaya, Selangor.

*Please write additional names on separate sheet of paper and staple it together with this registration form.