Reflecting on Our Year with God (Nov)

Contemplative and Silent Retreats
Reflecting on Our Year with God Nov 4th-6th 2016 Registration Form
*Name:
*Age Group:
*Gender: Male Female
*Maritial Status: Single Married Others
*Tel: (Home)
(Office)
(H/P)
Address:
*Email:
Local Church Name:
Christian Since: (Year)
Comments/ Remarks:
I am new to/familiar with contemplative/quiet retreats
Contribution: RM300 per person (Twin-Sharing)
Cheque No:
please made payable to 'The Methodist Church in Malaysia'
and send to:
Trinity Annual Conference (TRAC)
No. 2, Jalan 5/39
46000 Petaling Jaya

or

via BANK- Pay to: Area Exec.Council of Methodist Church in Malaysia (HSBC A/C no. 302-029772-028)
Fax bank-in slip (indicate your name and Theme of retreat) to 03-7954 2837
Enquiries: Please email icm@trac.org.my (or call 03-7954 2836)
Please respond to the following questions:
1.Preferred room-mate (if applicable)
*Verification Code: