Supernatural Encounters - Men's 25th - 26th October 2019

25th October 2019 - Arrive: 6.30pm | Please fill out this form and click submit.

Encounter will take place at our Springbank Campsite in Cust, only 10 minutes outside of Rangiora.

Full Name

*

Date of birth (must be 16+yrs)

*

Email

*

This address will receive a confirmation email

Address

*

Mobile Phone

*

Gender

*

Please select all that apply.

Male Female

Church

*

Please select all that apply.

Christchurch Nelson Kaikohe Warkworth

Would you like accommodation?

*

Please select one option.

Yes No

Catering

Please select one option.

Gluten Free Normal

How many encounter weekends have you already attended?

*

Please select one option.

Never been before 1 2 3+

Name of your CG Leader / Connection

*

Payment

Registration ($85.00) Senior / Student ($75.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

25th October 2019 - Arrive: 6.30pm

Please fill out this form and click submit.

Encounter will take place at our Springbank Campsite in Cust, only 10 minutes outside of Rangiora.

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