AWE2019 Registration Form
Date/Time: 26 July (9am) to 28 July (5pm) 2019
Venue: Swiss-Belhotel Harbourbay Batam
AWE2019 3D2N Fee per person : $360 (Twin Sharing) or $460 (Single)
**Includes hotel accommodation, 2 x Breakfast, 3 x Lunch & 2 x Dinner. **

Thank you for registering for Archippus Awakening's next Awakening Event: AWE2019

Please indicate preferred payment mode in the form:
– Cheques are to be crossed and made payable to ARCHIPPUS AWAKENING indicating name & mobile number behind. Send cheque to ARCHIPPUS AWAKENING Ang Mo Kio Central Post Office PO Box 656 Singapore 915606. Do not send cash.
– Online Banking Transfer to DBS Account No: 070-901904-8
– PAYNOW to Unique Entity Number (UEN): 53271412A

CLOSING DATE: 30 JUNE 2019

Payment details will be emailed to you once form is submitted for easy reference. Registration will only be confirmed upon receipt of full payment (non-refundable).

We will be in touch with more details and instructions as we draw closer to the dates of AWE2019. Thank you and we look forward to seeing you at AWE2019!

TEAM ARCHIPPUS
archippusawakening@gmail.com

Full Name (as stated in passport) *
Your answer
Gender *
Date of Birth *
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Preferred name on your name tag *
Your answer
Church Attending (in full, e.g. Full Gospel Assembly, instead of FGA). *
Your answer
Contact Number *
Your answer
Email *
Your answer
Passport No. *
Your answer
Passport Expiry Date (must have 6 months validity before July 2019) *
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DD
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YYYY
Nationality *
Your answer
Room Type (subject to availability) *
Roommate if Twin -Sharing (leave blank if open to assigning by organiser)
Your answer
Payment Mode *
Emergency Contact Person & Number *
Your answer
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