Register your interest via fax or mail

Womens Conference
Application Application
Brochure Brochure

Annual Conference
Application Application
Brochure Brochure
 

General Expression of Interest to attend a JCMA Conference
ALL FIELD MARKED WITH * MUST BE FILLED

  
Event  
Male
Female
Clergy
Academic
Student
Community Support
Laywoman
Layman
*Name:  
*Surname:  
Designation:  
Prof/Study:  
My Age: 
*Address:  
All meals will be Halal.
Meals in which meat is served will not be
prepared with dairy products and no
seafood or Pork products will be served.

If this does not meet your need please
request from the following.
Strictly Kosher Meals
Vegetarian Meals
*State:
*City/Town:  
*Postcode:  
*Home Number:  
For health reasons I have the following
dietary requirements:
*Work Number: 
 Travel & Accommodation for Autumn/Winter Conference
*Email:  
 I request coach pickup & return from:
  Should your application be successful, can we include this email on a list of participants, on the clear understanding that it is only to be used for one to one communication and not to be added to any lists?'
I plan to travel to the conference centre by
* Religion:  
I request accommodation
* My place of Worship:  
I have limited financial means. Please advise me whether a concessional rate is available.
If so I am happy to share
Please write a brief statement:
"Why I would like to participate in JCMA Conference." 		 
* Please fill out all of the fields  
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