Registration Form

Deepening our Discipleship
With the Fire of the Holy Spirit
Melaka- Johor Charismatic Rally
23- 25 November 2007
Majodi, Plentong

Name ..................................................................................................................

Age.................................. Tel No........................... IC/BC No:...........................

Address...............................................................................................................

Parish.......................................................E-mail.................................................

Accomodation( Please tick)

......... Chalet(Twin Sharing) - RM 120.00 person {inclusive of one free T-shirt}
......... Dormitory - RM 80.00 person {inclusive of one free T-shirt}
......... Non Stay-in - RM 60.00 person {inclusive of one free T-shirt}
.........Children < 6yrs - RM 30.00 per child(food only)

T-shirt size: ........(S) ............. (M).................(L)...............(XXL) -Please choose one.

Deadline: 31 July 2007

Signature...................................................

(Please note: Accommodation/ type of accommodation is not guaranteed until confirmation is given)

Contact Persons:
Melaka - Alexander Jothy (012 9327458)
Muar - Clarence Abraham (012 3608422)
Kluang - Diana Christian (012 7588653)
JB - Nancy Johnson (012 7131053)

Please hand in your registration forms and fees to the above contact persons early as places are limited and the concept of "FIRST COME FIRST SERVE" basis shall apply. You can fax the registration forms after July 31 to Fax NO: 07-7712053 but only after contacting Joy Christian at 019-7232269 for your accommodation type. We look forward to have you join us. Thank you.

(Registration and checking on the 23/11/2007 begins at 10.00am - 2.00pm)