Contemplative & Silent Retreats: 5-Day Individually Directed Retreat

Contemplative and Silent Retreats
5-Day Individually Directed Retreat, June 25-29 2019 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: RM675 per person
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: