Dear Treasurer

Re: Grassroots Kid's Church materials

Option "A" (Fill in below form)

Fill in the below form, then click on "send this form" and you will be directed to the 'Paypal' Payment site.
Payment is in 'AUS' Currency - Cost - $49 annually.
You can use Paypal, Visa or Master Card

Option "B" (Don't fill in below form)

If the parish (Must be an Australian Parish) prefers to have you pay on account,
then request an account to be forwarded.
Click Here (Make sure you give details of the parish, postal address as well as Email address future material is to be sent to )

A user name and password via Email will be sent, so you have immediate access to the full site

Reason for responding	The Parish would like to subscribe to the Kid's Church pages Select from pull down menu
Please send us an account	Yes No - We will use the pay pal option mentioned in a future screen
Parish Name
Location - Include State
Prefix	Rev'd Fr Pastor Mr Mrs Ms Dr Select Select from pull down menu
Email address
Country	Africa Australia Canada India Ireland Malaysia Malta New Zealand Philippines South Korea United Kingdom United States of America Other Select here Select from pull down menu
If other, please list country
Your Postal Address
Church Tradition	Anglican Assemblies of God Baptist Church of Christ Church of England Episcopal Lutheran Methodist Presbyterian Revival Roman Catholic Uniting Church of Australia Other Select here Select from pull down menu
If other, please indicate
How did you find us	Google/Yahoo etc or similar Recommended General Surfing Other
To assist others to find us, if you used google or similar what search words did you use?
Any comments you would like to add