華人福音普世差傳會, 基督使者協會
21 Ambassador Drive Paradise, PA 17562
日期: 2017年5月26~29日
早上八點 - 下午五點
1. 報名表格 Contact Information:
稱謂 Contact Title
中文姓名
Last Name
First Name
性別 Gender
關係 Relationship
所屬教會 Church
-- M F
2. 通訊資料 Correspondence Information:
住址 Address
城市 City 州 State Please Select Outside US/CANADA Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming 郵遞區號 Zip code
電話 Tel. (HomePhone): (CellPhone):
電子郵箱 E-mail:
3. 費用: 每位$125 (含講義及膳宿)
總數 Total
$
自由奉獻
4. 信用卡繳費 Credit Card Payment: Pay by Credit Card
聯繫 CONTACT
Cindy Hwang 610-639-5710
chwang@afcinc.org