Interns Together
Set to serve (19th September) Sustained to serve (16th January) Sent to serve (1st May)
Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Email
*
example@example.com
Name of organisation
*
Internship Role (e.g. media intern/general):
*
Name of Supervisor
*
Supervisor's Email
*
example@example.com
Dietary Requirements (this is required as lunch and snacks will be provided during the day):
Payment
I would like to pay £45 for all 3 gatherings
I would like to pay £15 for Gathering 1
Tickets
*
prev
next
( X )
All 3 Gatherings
Thursday 19th September, 16th January, 1st May
£
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
Gathering 2
Thursday 16th January, Crown Jesus Ministries Building, 10am-4pm
£
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: