Arise 2019 Application Form
PLEASE NOTE THAT ALL FIELDS ARE MANDATORY* AND WILL REQUIRE AN ANSWER
Are you a Pastor or an Elder? *
Family Name/Surname *
Your answer
First Name *
Your answer
Do you prefer to be known by a different name? *
Please type the name that you would like printed on your badge OR type NO
Your answer
Name of your home church *
For example: Trinity Church
Your answer
The city, followed by the country of your home church *
For example: London, UK or Washington, USA or Seoul, South Korea
Your answer
Gender *
Date of Birth *
For clarity, please use TEXT (not numbers) for the month Examples: 3 October 1987 or October 3, 1987
Your answer
Your age (in years) *
For example: 30
Your answer
Residential home address (including country) *
Your answer
Email address *
Please ensure that this is typed correctly as it will be used for all future ARISE communications
Your answer
Is your husband/wife also attending ARISE this year? *
If you have answered YES to the above question, please state his/her full name *
If you have answered NO to the above question, please type N/A here
Your answer
Full name of your emergency contact *
This should NOT be someone who is also attending ARISE this year as a delegate
Your answer
Telephone number for the above person (incl country code) *
Your answer
What is his/her relationship to you? *
For example: Wife / Father / Sister / Friend / Pastor
Your answer
What is the level of your spoken English? *
Have you registered as a delegate at an Arise event in the past? *
Is there any additional information that you feel we should be aware of? *
If not, please type NO
Your answer
Your ARISE booking fee *
Your payment covers all teaching, training & outreach materials, accommodation and food throughout the ARISE campaign
Bank details for wire/transfer of funds
Please use your FULL NAME as a reference for an individual payment or your CHURCH NAME for a group payment

For booking fee or payment enquiries, and to receive confirmation that we have received your payment, please contact our accounts department: accounts@amnosministries.org

Delaying your payment does not prevent you from completing your online application.


Bank: NatWest (National Westminster Bank)
Branch: Rickmansworth
Address: 159 High Street, Rickmansworth, WD3 1AR, UK

Sort Code: 60-15-30
Account No: 67615252
Account Name: Amnos Ministries

IBAN: GB90NWBK60153067615252
SWIFT CODE: NWBKGB2L


THESE BANK DETAILS CAN ALSO BE FOUND ON OUR WEBSITE: www.amnosministries.org/support-amnos/giving

Email Consent *
Required
Terms *
Once you submit your application you will receive an automatic acknowledgment to the email address that you have given on this form. If you do not receive an immediate confirmation or if you have any queries about your booking, please contact the AMNOS/ARISE administrator: secretary@amnosministries.org
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