Registration for 'Shaping Australia's Spirituality'
Register here for the National Roundtable on Shaping Australia's Spirituality.
1.
Your name.
Title:
First name:
Surname:
Name as you would like it on your name tag:
2.
Your contact details: (Please note that we need an email address and will use this as the primary way of communicating with you.)
Organisation:
Address (street or PO Box):
Town:
State:
Postcode:
Telephone:
Email:
3.
Which days would you like to attend ($80 per day)?
Tuesday 31st August - The Spirituality of the Nation
Wednesday 1st September - The Spirituality of Youth
Thursday 2nd September - The Spirituality of Family, Workplace and Community
Friday 3rd September - Spirituality in the Church
I would like to attend all four days ($250 if paid in full before 31st May)
4.
Would you like to attend the 25th Anniversay Celebratory Dinner on Thursday evening 2nd September ($60 extra)?
Yes
No
5.
Do you wish to pay a deposit or pay in full?
I wish to pay a deposit of $40 (non-refundable). The remaining cost will be invoiced.
I wish to pay in full.
6.
Payment type (tick box):
Cheque - please send the cheque by mail, payable to Christian Research Association
Mastercard
Visa
7.
Payment details:
Card number:
Expiry date:
Amount $:
Name on card:
Registration for Conference