Surge Registration Form
Saturday 27th September and Sunday 28th September
Offline Mode
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Title
Please select
Pastor
Deacon
Deaconess
Brother
SIster
Doctor
Professor
Advocate
Mr
Mrs
Miss
Ms
Name
*
Surname
*
Contact number
*
Email address
Church Group
Please select
CE Randburg
Randburg Group (excluding CE Randburg)
Sandton Group
East London Group
Port Elizabeth Group
Newlands Group
Soweto group
Rustenburg Group
Polokwane Group
Rivonia /Alex Group
Midrand Group
Midrand Gallagher Group
Randburg Group Extension
Krugersdorp Group
Name of church
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