Application Form

GENERAL INFORMATION
Name of Company/individual:*
Company Registration Number:*
Company Representative:*
Company Address:*
Tel No:*
Cell No:*
Fax No:
Email:*
OPTIONS APPLIED FOR*
(tick applicable box and indicate amount of hours)
- PROPHETIC INTERCESSION
- PROPHETIC COACHING
- KINGDOM FINANCIAL STRATEGIES
- BUSINESS COACHING
- INTERCESSORY TRAINING
Amount of Hours:
PROPHETIC INTERCESSION PROPHETIC COACHING KINGDOM FINANCIAL STRATEGIES BUSINESS COACHING INTERCESSORY TRAINING
COMBO PACKAGES
(tick appropriate option)
- GOLD
- PLATINUM
- EXECUTIVE
EXECUTIVE MANAGEMENT TEAM MEETING
Name of individual requesting meeting:
Cell no:
Requested Date:
Please tick appropriate box:
- PERSONAL MEETING
- TELEPHONE
- SKYPE
CONTRACTUAL INFORMATION
Commencement date:
Duation of contract:
(tick appropriate box)
- ONE MONTHLY
- THREE MONHS
- SIX MONTHS
Note: Month to month billing at an hourly rate, which can be increased,decreased.