Church Registration

Your Details

Title: (Pastor, Reverend, Mr Mrs Ms etc):

Name:

Church Details

Name of Church:

Telephone:

Office Address:

Office Suburb:

Office Postcode:

Email:

Minister/Pastor's Name:

If not noted above

In December we would like to send you a quantity of
Perth Christian Directories, FREE OF CHARGE, to hand
out to your congregation.

We suggest one per family or 1/3 of your congregation.

Street or PO Box delivery address for your FREE supply
of Directories to be delivered to you in December
by Australia Post.

(IF DIFFERENT FROM ABOVE OFFICE ADDRESS).

Any Comments/Feedback
*If completing a 'Revised Registration' kindly indicate the change: e.g. Change of Telephone Number.

Type of Registration:

Please select... New Registration Revised Registration