National Prayer Conference
REGISTRATION FORM

The registration fee includes seminar materials and refreshments.
Kindly print form & make cheque payable to 'NECF Malaysia'
and send it 32, SS2/103, 47300 Petaling Jaya, Selangor

Title: Rev / Pr / Dr / Mr / Mrs / Miss   (please circle)
Name:
Address:

Tel: (O)                                                (H)
Email:
Church/Christian Organisation:
 
I enclose RM: __________ (cheque* / bank draft / money order No _______________ )
as registration fee. (*For outstation cheques, please include RM0.50 bank commission)
 
 
 
Signature:                                             Date:
 
 
For office use only
Date Received:
 
Amount:                                               Receipt No: :