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CHOICE 30th Anniversary Mass & Xmas Celebration

Full Name *
Email *
Mobile Number *
Will you be attending? *
 Yes 
 No 

If you are attending, please indicate number of adults (including yourself) and children.

Adults
Children

Which CHOICE Weekend were you from?

Please state the Month and Year below.
Month *
Year *

Would you like to give love donations to the Villa Francis Home?

*
 Yes 
 No 
All love donations are optional.

If yes, please choose your love donations below:

Love Offering
Anlene Gold Milk Power Refill Packs
Ensure Milk Powder
Bovril Beef Extract
Marmite
Dove Deep Moisture Liquid Soap Refill Packs
Dove Daily Therapy Shampoo Refill Packs

Villa Francis home will send an acknowledgement letter for all love donations received. For all love offerings, a tax deductible receipt will be also be sent.

Please provide your personal details below:
NRIC Number *
Mailing Address *
© CHOICE Singapore 2011