Formulir pendaftaran peserta Akhir Pekan Marriage Encounter (ME)

Tempat : WISMA PATRA, Jl. Minyak, Balikpapan
Tanggal : Jumat sd Minggu, 20 sd 22 November 2015

Informasi dan Pendaftaran hubungi pasutri berikut :
Betty – Richard 0812.582.2404 - 0821.1065.9204 Rm F. Huvang, MSF 0812.5121.2094
Hety – Beny 0816.451.0038 - 0812.545.41093 Rm Indro, Pr. 0813.4626.7263
Tami - Markus 0813.288.20252 - 0813.463.77763
Nana - Narro 0813.47.880.186 - 087812386877

Silahkan mengisi formulir pada kolom di bawah ini, kemudian klik tombol submit untuk mengirimkan formulir ini. Terima Kasih

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question