SECTION 1 - Group Registration
REGISTER AS A GROUP OR INDIVIDUAL
Would you like to register a group? *
If yes, please provide Group details
Group Leaders Name
Group Leaders Name
section 2 - Individual Registration
If Registered as a group proceed to section 3
Name
Name
Do you attend a church?
If yes, please provide church details
Section 3 - registration
What type of registration\s do you require
Please only fill out if registering for day/night registration
SECTION 4 - PAYMENT METHOD
Please note we are unable to process your registration without your full payment details
Payment Option *
*Refunds/Transfers: No refunds will be paid. Individual registrations can be transferred to another individual by placing the request in writing to History Makers Conference. *

HISTORY MAKERS CONFERENCE BANK DETAILS

BSB: 033-688        A/C NO: 537527        REFERENCE: RegoFRIST&LAST NAME