CJM Virtual AGM Registration
June 5, 2021 12 noon EDT Online virtually - Zoom info will be sent to registrants several days before the AGM date. Details: https://www.cjmin.com/agm
E-mail
*
example@example.com
First Person
Title
*
Please Select
Mr.
Ms.
Mrs.
Dr.
Pastor
First Name
*
Your answer
Last Name
*
Your answer
Home Address
*
Your answer
City
*
Your answer
Province
*
Your answer
Postal Code
*
Your answer
Telephone
Your answer
Church
Your answer
Back
Next
Second Person
Title
Please Select
Mr.
Ms.
Mrs.
Dr.
Pastor
First Name
Your answer
Last Name
Your answer
Home Address
Your answer
City
Your answer
Province
Your answer
Telephone
Your answer
Postal Code
Your answer
Email
Your answer
Home Church
Your answer
Back
Next
Are you a member of CJM
Please check options
Yes
No - If not, and wish to do so, please contact the Membership Secretary, Marie (Fuki) Duavis at marie.fuki@yahoo.com as soon as possible
Back
Next
Other Comments
Please enter any other comments
Submit Form
Should be Empty: