Alpha Training Registration Form
Date: 14th of March 2019
Time: 18h00 - 21h00
Event Address:
Mosaiek Church
1 Danielle Street, Fairlands
Gauteng South Africa

Contact: /031 575 9300

Email address *
Will You Be Attending the Training?
Title (Mr/Mrs/Miss/Dr/Rev/Pastor/Fr) *
Your answer
Name *
Your answer
Surname *
Your answer
Contact Telephone Number *
Your answer
Church/Organization *
Your answer
Church/Organization Address *
Your answer
Church/Organization Email Address *
Your answer
Church/Organization Contact Number *
Your answer
Church Leader's Name
Your answer
Church Leader's Contact Number
Your answer
Church Leader's Email Address
Your answer
Is Your Church Running Alpha this Year?
Your Role on Alpha at Your Church?
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