Connection Card • ICLC

Welcome to ICLC Network

Location Visited

South Campus

West Campus

Melbourne Campus

Date Visited *

Event Visited *

Invited by

How did hear about ICLC *

First Name *

Last Name *

Gender

Email Address *

Mobile Number *

Date of Birth

Tip: We just want to say Happy Birthday!!!

Contact Details

Home Phone Number

Mailing Address

Suburb

Tip: What suburb do you belong to

City

Country

Message

Tip: Any more information? i.e. Church name or prayer requests