ADVANCING OUR TERRITORY.
REGISTRATION FORM
UMOJA CHURCH PRAYER LINE'S 4TH ANNIVERSARY CONFERENCE ON MARCH 9TH - 11TH 2018.
For any inquiries, please contact via WhatsApp or Text Only
Kwa maelezo zaidi, tafadhali wasiliana na:

Joyce +1 301-538-0283
Angela +65 8161 8194

Please submit your registration only ONCE.
Tafadhali wasilisha maombi yako mara moja tu.
Gender: *
Jinsia:
Fill here: Last Name *
Jaza hapa: Jina la mwisho
Your answer
Given Name: *
Jina la kwanza:
Your answer
Phone No: *
Namba ya Simu:
Your answer
Email Address:
Barua Pepe:
Your answer
Travelling with kids: *
Unasafiri na watoto:
Required
If Yes, Number of Kids
Kama Ndio, Idadi ya Watoto
Your answer
Full Names: Kids and their Age
Majina Kamili: Watoto na Umri Wao
Your answer
If Travelling By Air: Use Dallas/Fort Worth International Airport (DFW) OR Dallas Love Field (DAL)
Kama Unasafiri na Anga: Tumia Dallas/Fort Worth International Airport (DFW) OR Dallas Love Field (DAL)
If Travelling By Bus: Use Dallas Greyhound Station, 205 S Lamar, Dallas, TX 75202.
Kama Unasafiri na Bus: Tumia Dallas Greyhound Station, 205 S Lamar, Dallas, TX 75202.
Do You Need A Place To Stay? *
Utahitaji Mahali Pa Kufikia?
Number of People Needing Accomodation
Idadi ya Watu Wanaohitaji Malazi
Your answer
Do You Wish To Stay In A Hotel? *
Utapenda Kufikia Hotelini?
Details for the Hotel:
HOTEL NAME: Holiday Inn Express and Suites,
ADDRESS: North Dallas at Preston.
6055 LBJ Freeway
Dallas, TX 75240
T: (972) 404-4500 F: (972) 404-4501

Ask for: Janet Ortiz - Sales Manager and mention UMOJA CHURCH EVENT
Group rate for a room per night at $90 i.e $270/- for 3 nights
Sharing per night 2pax will be @ $45 i.e $135/- for 3 nights
Sharing 4pax per night will be @ $25 i.e $75/- for 3 nights
For those who need a room without sharing please contact Jane the Sales Manager and make payment by saying the booking is under Umoja Int'l Lutheran.
Please Note this discount offer is valid to 28th Feb.

Any Medical Conditions?: *
Hali yoyote Kimatibabu?:
UMOJA T-Shirts will be on Sale at $12/- (choose your Size) If interested.
Fulana za UMOJA zitauzwa kwa $15/- (Chagua size yako) kama utapenda.
For T-Shirts Only (Please Advice Number of Sizes Required)
Kwa Fulana Tu (Tafadhali Tujulishe Idadi na Saizi Unazohitaji)
Your answer
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