SIC Adorer PEA Registration Form
Nine (9) Days Perpetual Eucharistic Adoration (13-21 July, 2018)
Event Address: 2 Jalan SS 25/23,Taman Plaza, 47301 Petaling Jaya,Selangor, MALAYSIA
Contact us at +6019 333 1002 should you need further assistance.
Note: Midnight adorers will need to be registered in order to clear SIC Security
Name *
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Your answer
Contact No *
Enter number with a hash first ex. #0122983834 (No space and special characters)
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Your answer
Day *
Please check a day you would like to commit
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Date *
What DATE will you start this adoration (ex. If you have selected Mon, the date below should be entered as 23/07/2018)
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/
DD
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YYYY
Time *
What time will you attend adoration. Blocks of 1 hour (ex. 0=12am, 1=1am, 13=1pm, 23=11pm)
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Your answer
Commitment *
Do you want to commit this Day and Time throughout 9 Days Novena
Additional Roles
Would you like to avail yourself as being one of the following during PEA
Email
Example JesusLovesYou@heaven.org (No spaces are allowed in e-mail address)
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Your answer
Parish
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Your answer
Submit
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