GREAT COMMISSION COURSE REGISTRATION FORM

Please complete and return with deposit and indemnity form to secure your participation 1 January - 20 January 2010

Name: ______________________________________________________________________

Address: ____________________________________________________________________

State: ___________________________ Postal Code:_________________________________

Telephone: (h) ___________________ (w) _______________ (c) _______________________

Fax: _________________________________ E-mail: ________________________________

Occupation: ___________________________ Home Church: ___________________________

Do you believe in the Bible as the inspired, infallible and inerrant Word of God? ____________

Do you want to attend the whole course? 1 January - 20 January_______ (Cost R2600)

Or only the Camp? 1 January - 8 January ______ (Cost: R1200)

Signed: _____________________________________________ Date: ___________________

Please return completed form with 50% deposit to:
Frontline Fellowship, PO Box 74, Newlands 7725, Cape Town, South Africa