NEW CONVERT FORM

Data protection regulations require us to seek your consent before storing your details and give you the option to change them or request us to remove your details entirely. Kindly confirm whether you are happy for us to take and retain your contact details on our Church database so that we can continue to get in touch with you in future (via phone or email) regarding our Church programmes, events, and activities that will be of a blessing to you.

Data Consent *

Yes I Consent

No I don't

Title

First Name *

Last Name

Phone *

Email

Address

Postal code

Are you above 18 years?

Yes

No

Are you a university student?

Yes

No

Birthday (Day)

Birthday (Month)

Have you been a member of any of the Winners Chapel International church in other location(s)?

Would you like to join Winners Chapel International?

Yes

No

Maybe

Prayer Request