Register

	Conference 2008 Registration Form Total number of people to be included on this registration Enter Your Details Salutation First Name Preferred firstname printed on name-tag: Family Name Your Date of Birth (DD/MM/YYYY) Motivation for Coming to the Conference: What's the reason you want to come to Conference Enter & re-enter your email address: Email Re-enter Email: More about you Baptised: Sex : Ecclesia : Re-enter your family name Your Postal Details Street Address City State/Province Zip Country Telecommunication Details Phone Mobile Fax Select you Off-site accommodation preferences use <CTRL> or APPLE key to select multiple: Your registration fee has been kept low through the donation of others. You can also pledge a donation toward Conference 2008 Donate Extra: Donation amount Au$ Medical Information Enter your Emergency contact & their phone number (name/phone): (Pick someone who is not coming to conference) Tick if you have Medical Issues you need to let us know about: Provide details of Medical Issues for all delegates in this registration: Enter Quantity of OR 'Evening Only' guest Registrations for registration option each group below (Sydney residents) Qty Adults >17 $60: Qty ($30): Qty Students >17 $30: For attendance at Qty Kids <17 $0: evening sessions only after 6:30pm from Sun 5th to Fri 10th Do you need Help with Transport? (Tick) If you would like Assistance: Please provide details of the type of assistance: Information about the other people on your registration: Please enter the other delegates info, include; Name, Date of Birth(dd/mm/yyyy), & "YES" if Baptised: Click Submit to Register By clicking Submit, you confirm that the above details are correct including information about medical issues of people included in this registration

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