Tudor Bismark Ministries UK - Bishop Tudor and Pastor ChiChi Bismark

You can download the form by clicking here (in Microsoft

Word) or here (in Adobe) or you may complete the online

form below.

Personal DetailsTitle:
Title (Dr, Mr, Miss, Mrs, Pastor, Bishop etc.)
First Name:
Your First Name
Last Name:
Your Last Name
Address:
Your Address
Postal Code:
Your Post Code
Daytime Phone Number:
Your Daytime Phone Number
Mobile Phone Number:
Your Mobile Phone Number
Email Address:
Your Personal Email Address

Your Church DetailsChurch Name
The name of your local church
Church Address & Postcode
The address of your local church, including the post code

If you are attending the conference with children, please list their names and ages belowFirst Child's Name
Your first child's name
First Child's Age
Your first child's age
Second Child's Name
Your second child's name
Second Child's Age
Your second child's age
Third Child's Name
Your third child's name
Third Child's Age
Your third child's age

How did you hear about the 2010 Fresh Fire Conference? (Please tick as appropriate)I heard about the conference
Please tell us how you found out about our conference
if you answered 'neither of the above' please tell us more here
Please tell us how you found about the conference if neither of the other reasons apply to you.

Contact with Tudor Bismark Ministries

Your details will be added to the database of Tudor Bismark Ministries who will update you with products and further visits from Bishop Tudor and Pastor ChiChi Bismark from time to time.

NO, I DO NOT want to be kept up to date occasionally by Bishop Bismark's office
If you would like some information about being a partner of Bishop Tudor Bismark Ministries, please tick this box

When we receive your form, we will contact you for your payment.

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