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Online Registration Form
Please fill in this registration form if you would like to join us on zoom for the online course starting on
Wednesday 15 September 2021 at 19h30.
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* Indicates required question
Surname
*
Your answer
Husband's First Name
*
Your answer
Wife's First Name
*
Your answer
Husband Cell Number
Your answer
Wife Cell Number
Your answer
Husband email address
Your answer
Wife email address
Your answer
Wedding Anniversary
MM
/
DD
/
YYYY
I would like our Marriage Course Journals:
*
Courier to my house in Gauteng, I will EFT R330 into the Marriage Course account
I would need to courier out of Gauteng, cost TBC
I can not afford R330 at this time, please let me know what my other options are
I am not in South Africa and can not have journals couriered.
Other:
Required
Banking Details:
Address for the courier
Your answer
Will you and your partner be doing the course together or remotely?
Together
In 2 different locations
Clear selection
Please share the location you'll be carrying out the course from
Your answer
Where did you hear about this course?
Church newsletter
Word of Mouth
Email
Website
Facebook
WhatsApp group
Other:
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