Invite MPP Khanjin to Your Event

First Name*

Last Name*

E-mail*

Mobile (optional)

Postal Code*

Event Type*

Date of Event*

Event Start Time* Time

Event End Time* Time

Event Location*

Please provide any any additional details here:

I would like MPP Khanjin to:

Give a speechPresent an awardJust attend

I have verified the above information is accurate, and I understand that any incorrect information may delay the process of my certificate request