FCK 2025 TRIENNIAL CONFERENCE REGISTRATION FORM

FCK 2025 Triennial Conference Registration Form

The 9th FCK Triennial Conference will be held at Friends High School, Poroko, in Kilgoris Narok County, as from 16th -20th April 2025.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Birth Day*

MonthDayYear
Date
Age*

1 - 18 Years19 - 35 Years36 - 55 Years56 - 70 Years71 - 80 YearsAbove 80 Years
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Yearly Meeting*
Monthly Meeting*
Local/Village Meeting*
Special Considerations (i.e Meals, Medication e.t.c.)*

PAYMENT DETAILS
THE CONFERENCE FEE IS KSH. 7,000/= (USD - $55| UGX - 202,000| RWF - 73,000 | TSH - 148,000)

TO PAY FOR THE CONFERENCE, YOU MAY USE THE FOLLOWING:

BANK ACCOUNT DETAILS:

NAME: FRIENDS CHURCH KENYA

BANK: CO-OPERATIVE BANK

BRANCH: KAKAMEGA

ACCOUNT NO: 01128167796600

OR YOU CAN USE MPESA PAYBILL

MPESA PAYBILL NO: 400200

ACCOUNT NO: 577021#
Have you paid for the conference*

YesNo
Which Method have you used to Pay? MPESA or Bank?*

MPESABANKNot yet Paid
If you have Paid Via the MPESA PAYBILL OPTION, kindly provide the Transaction Code*
Should be Empty:

FCK 2025 Triennial Conference Registration Form