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Video Registration "Battle for the Hearts"
You may use this form for registration of the video set "Battle for the Hearts".
Please complete this form and submit it to us
by pressing the "Submit" button below the form.
Should this form not work on your web browser, please submit your application by emailing
battle@sim.org.za
Your full name:
Your email address (user@domain.com):
Your Phone Number:
Your postal address:
Your Church/Organisation:
Registration number as printed on tape 1:
Your comments:
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