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REGISTRATION FORM: IGMC OF THE HOUR, 4TH - 8TH OCTOBER, 2004
N.B.
(i) Please read through the brochure carefully prior to filling-out this form(ii) Return the completed form BY E-MAIL ONLY to the host ministry within 6 days of receiving the brochure/form, to reach us NOT LATER THAN SEPTEMBER 3RD, 2004.
(iii) Those living in remote areas of countries where e-mail facilities are not available MUST return the completed forms to our representatives who gave them the forms WITHIN 4 DAYS of receiving them.
(iv) Please ENSURE that all pieces of information required here are given.
(v) Our e-mail addresses are: igmcregistrar@yahoo.com; igmcregistrar@wccrmvoice.org; wccrmeditor@mail.com; wccrmhqters@yahoo.com.
(vi) Our fax lines are (234)(1) 2646082 - 4 (Form must be marked; For the attention of Box 288)
(vii) Our phone nos. are (234)(1) 7741929; 4713268; 4803243; 0802-3183043; 0803-7879847
(viii) Not adhering to the foregoing rules or not supplying the necessary information as requested WILL AUTOMATICALLY DISQUALIFY THE CANDIDATE
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1. Name of participant ....................................................................................
Surname Other names
2. Sex: Male ____ Female ____3. Ecclessiastical title (e.g. Rev., Bishop, Pastor)..............................................
4. Name of your church/ministry......................................................................
5. Your position in the church/ministry (e.g general overseer, district pastor,
zonal pastor, etc).......................................................................................6. Locational address of your church/ministry.................................................
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7. Mailing address of your church...................................................................
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8. Phone ........................................................... Fax ....................................
E-mail..................................................... Website .....................................................................................................................................................
9. How old is your church/ministry? ............................................................
10. How many branches do you have in the country of origin? .......................
11. How many branches do you have overseas? ............................................
12. If you are the general overseer, what is the overall numerical strength of
the church/ministry under you?.................................................................13. If you are a state, zonal or district superintendent, how many local
assemblies are under your supervision?.....................................................14. What is the total numerical strength of these local assemblies? ..................
15. If you are a pastor of a branch church/ministry, what is the numerical
strength of the assembly you are pastoring? ............................................16. If you are a general, state, regional or zonal superintendent, what is the
numerical strength of the local assembly where you are ministering?............17. If an evangelist, are you a commissioned evangelist of the church or
ministry? .................................................................................................18. Are you coming to the conference with your spouse? ................................
19. If yes, please state his/her name (e.g. Rev. (Mrs.) Rita Kelly) ....................
.................................................................................................................20. What is your spouse's position in the church/ministry? ...............................
.................................................................................................................21. If you are coming from overseas, when do you intend to leave Nigeria after
the conference? .......................................................................................22. How did you get information about this conference? ..................................
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23. How many of the IGMCs have you attended (please tick as appropriate)
None___ IGMC 2000 ___ IGMC 2001___ IGMC 2002_____ IGMC 2003____