中文自然教會發展導師訓練課程申請表

Chinese NCD Coaches Training Registration Form

 Participant Information  參加者資料
名字 First Name____________________________________________________________
姓氏 Last Name____________________________________________________________
教會職位 Church Position____________________________________________________________
住址 Home Address____________________________________________________________
城市 City____________________________________________________________
省份 Province____________________________________________________________
郵區號碼 Postal Code____________________________________________________________
電話 Home Phone____________________________________________________________
電郵 E-mail____________________________________________________________

 Church Information 教會資料
教會名稱 Church Name____________________________________________________________
教會地址 Church Address____________________________________________________________
城市 City____________________________________________________________
省份 Province____________________________________________________________
郵區號碼 Postal Code____________________________________________________________
教會電話 Church Phone____________________________________________________________
教會傳真 Church Fax____________________________________________________________
電郵 E-mail____________________________________________________________

The confirmation will be sent to the participant by email/fax upon payment received.

 Fee Information 費用
加幣 CAD 300.00 (plus 7%GST)
請以支票抬頭寫OnTrack Ministry. Please send your cheque payable to OnTrack Ministry :

Ontrack Ministry (Chinese Section 中文部)
C/O Dorothy Chan
1594 Maplehurst Circle﹐Burnaby
BC﹐Canada V5A 3Z1