A POWERFUL EXPERIENCE OF OPEN HEAVEN

Name

Name as per IC/Passport

First Name

Last Name

Contact Number

6012XXXXXXX

Message

If registering for more than one person please insert names below If you require special requirements please indicate below

Do you have a prayer request? If so please indicate below

How did you hear about F.I.R.E. 10 Conference?

For others, please indicate below

Note

Make an online transfer to AmBank and attach the transaction slip via email to rock@kogsc.org or Whatsapp to the phone number below: Pastor Jayden & Pastor Prisca: 011-3347 7812 With the following details: - Your Name - Phone Number - Email - Name of Other Participants (if any) - Amount Transferred - Bank Transfer Receipt The bank details are as follows: - Account name: Remnants Resources - Account number: 8881026822546