2017 Chicagoland RJC Conference Registration Form
Theme: The Love of Christ Compels Us (2 Corinthians 5:14)

Date & Time: Saturday, June 24th from 9 AM - 5PM
Place: Cornerstone Evangelical Free Church 2 Shermer Rd. Glenview, IL 60025

Please fill in this registration form and pay online using Paypal at the end of the form or check the box stating that you would like to pay at the door. Registration fee is $20 BEFORE or ON the day of June 12th / $25 AFTER June 12th. Lunch and snack included. PLEASE BE SURE TO CLICK ON SUBMIT FORM BEFORE CLOSING THIS PAGE.

1. Fill in form for only one person at a time. 様式を埋めてください。
2. If paying online, click Paypal link and pay. オンラインで支払う場合、Paypalのリンクをクリックしてお支払いください。
3. Close Paypal tab. Paypalのタブを閉めてください。
4. Click on 2017 Chicagoland RJC google tab and click "I am not a robot" AND then CLICK SUBMIT FORM. After doing this, you will have the chance to choose to submit another form if you need to register a second person.
2017 Chicagoland RJCグーグルのタブをクリックして下さい。又、"I am not a robot"のタブをクリックし、SUBMIT FORMをクリックして下さい。。

Thank you so much!


Email address *
Name: *
Your answer
Phone Number: *
Your answer
Mailing Address: *
Your answer
Name of Home Church 所属教会
Your answer
Are you currently involved in a ministry to Japanese people? 現在、日本人ミニストリーに関わっていますか?
If so, what is the ministry called? もしそうなら、何というミニストリーですか?
Your answer
How would you like to pay for the conference?  どちらの方法でこのカンファレンスのお支払をされたいですか? *
To pay online now using Paypal, please click the RJC paypal link below. Once you pay, PLEASE return to this form and click SUBMIT, so you're registration will be saved. Thank you so much! ペイパルを通してオンラインでお支払されたい場合、下のリンクをクリックしてください。お支払後、この様式に戻って、SUBMITをクリックしてください。その後、この申込が完了します。ありがとうございました。 https://www.paypal.me/RJCNetwork
A copy of your responses will be emailed to the address you provided.
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