U.Nite Registration
Date: 3-4 November 2017 (Starts 7PM on Friday night with dinner; ends 10PM on Saturday night)
Venue: SPH Lippo Karawaci
Email address *
We suggest using Google Chrome as your internet browser to avoid compatibility issues while filling out this form.

If you plan to pay by transfer, please BE READY TO UPLOAD your transfer receipt in this form.

General Information
Full Name *
Gender *
Phone Number *
LIFE Group *
Registration Details
Registration Fee *
Fee covers transport, 1-night stay and 4 meals at SPH
Financial Assistance
Do you need financial assistance?
If YES, how much can you personally contribute? (In IDR)
Can you provide financial assistance for others?
If YES, how much can you personally contribute? (In IDR)
Payment Details
Total amount to be paid *
Please total your total fee/contribution + any amount of financial sponsor = (in IDR)
I understand that registration is only complete once payment is made. *
Payment Method *
Never submit passwords through Google Forms.
This form was created inside of Harvest Mission Community Church. - Terms of Service - Additional Terms