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Please complete all fields that are marked with *
Organisation Name*
Office Email*
Office Telephone
Website
Sector *
(Core Focus, only select 1)
Agriculture & Rural Development
Bible Resources & Translation Services
Business/Market Place
Children
Christian Schools & Education (school level)
Church Denomination, Organisation, Group, Family or Movement
City/Town/Region Network
Community Development and Transformation
Creative Arts
Disaster/Relief Response: Nature and Human
Ecumenical Body
Entrepreneurship & SMMEs
Environment
Evangelism
Family Life, Marriages & Parenting
Gender
Health
HIV/Aids
Job Creation & Skills Development
Justice, Reconciliation, Peace and Ethics
Leadership Development
Media and Communications
Men
Missions/Sending/Outreach
No Sector
Prayer
Research & Development
Retreat & Conference Centres
Social Ministries & Social Development
Special Needs Schools
Sport & Recreation
Teaching & Training
Urban Development
Women
Youth (secondary school & students)
Province*
(only select 1)
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
National
North West
Northern Cape
Western Cape
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Referrer Organisation Name
Referrer Name & Surname
Referrer E-mail