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2008 WOSEM Conference Registration

Participant Name (Last Name)
Other Names
Email Address
Street Name and Number (Home Address)
Town or City
State
Country
Zip Code
Telephone Number (Land/Wireless)
GSM Number
Street Name and Number (Office Address)
Town or City
State
Country
Zip Code
Office Number (If Any)
FAX Number
Have you attended a WOSEM conference before?	Yes No
If yes, what year was your first attendance?
What year was your most recent attendance?
Are you a member in a WOSEM Assemply?	Yes No
Assembly Pastor's Name
WOSEM District of your church
WOSEM Zone of your church
Are you a born again Christian?	Yes No
If yes, in what year did you accept Jesus Christ as your Lord and saviour?
Date of Arrival
Date of Departure
Your mode of travelling:
Do you need accommodation to be reserved for you?	Yes No
I want free accommodation:	Yes No
I want hotel accommodation:	Yes No
Did you pay as a member of group?	Yes No
Name of bank where you paid
Address of the bank
Amount paid
Date Paid
Teller #
Please indicate with one tick only which of the following categories best applies to you for the conference feeding arrangements:	Invited speaker/revivalist/singer/choir Children’s group WOSEM staff WOSEM Matron/patron Minister of God (Pastor/evangelist etc) Conference Planning Committee Member Invited Usher Invited Server Participant
Please come with the second copy of bank payment teller to collect your conference bags and other materials.
*Hotels are fee paying. Price details will be sent to you later.

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