ALPHA_26 Program by FBC Subang Jaya

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Thank you for your interest to register for the next Alpha program which starts from Thursday, 11th Jul 2024, 8-9:30pm. Please provide us the information below and we will contact you before the program starts. If you need any clarification, please contact Yong 016-2263040

Gender *

Male

Female

Name *

Please provide your name without family name, e.g. John for "John Lim".

Family Name *

Please provide your family/sur name, e.g. Lim for "John Lim".

Mobile Number *

Are you a Christian? *

Yes

Not sure

Age group *

Please provide your age group

<25

25-34

35-44

45-55

>55

Introducer

Please let us know who introduced Alpha to you.

Location

Please provide name of town you reside (e.g. Subang Jaya, or state/country if outside Klang Valley)

Church *

Please provide name of the church that you are currently attending (please indicate "Nil" if you are not attending any)

Online Vs Offline *

The next Alpha may be conducted online and/or physical. Please indicate what type of Alpha program you would like to attend.

Online program via Zoom

Physical program in FBC Subang Jaya

Remarks / Comments (if any)

Submit

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