Church Name *

Pastor Name *

Church Location *

Church Phone Number *

Contact Person *

Contact Phone Number *

Contact Email *

Are you a First-Time Attendee?
YesNo

Select Delegate Type:
Adult LadyTeen (7th - 12th Grade)Child (4th - 6th Grade)

Number of Adults (₹25 each)

Number of Teens (₹20 each)

Number of Children (₹20 each)

Total Amount (Auto-calculated)

Proceed to PayPal