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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Surname *
Husband's First Name *
Wife's First Name *
Husband Cell Number
Wife Cell Number
Husband email address
Wife email address
Wedding Anniversary
I would like our Marriage Course Journals: *
Banking Details:
Address for the courier
Will you and your partner be doing the course together or remotely?
Clear selection
Please share the location you'll be carrying out the course from
Where did you hear about this course?
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