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MINISTRY CONFERENCE REGISTRATION FORM
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PERSONAL DETAILS
Surname
*
Your answer
Your first name
*
Your answer
Spouses name (if attending)
Your answer
Name of your Parish
*
Your answer
Are you an intern at KCML?
Yes (interns are invited to attend conference at half price)
Address 1
House number and Street
Your answer
Address 2
Suburb
Your answer
Town / City
Your answer
Postcode
Your answer
Contact phone number
Your answer
Email Address
*
Your answer
Billing information
Do you require an invoice to be sent to someone else in your parish for payment?
*
Yes
No
If you have answered yes please provide their details here.
Billing Name
Your answer
Billing Email
Your answer
Billing Postal address( if no email provided)
Your answer
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