AFFIRM Conference 2016 Registration

Name *

Email *

Phone number

Mobile number

Ministry unit

Fee (includes dinner on Tuesday) *

Waged ($45)

Unwaged ($30)

Tuesday evening only ($20)

Wednesday only ($30)

Fee not required ($0) - Guests or presenters only

Would you like us to provide you lunch on Wednesday ($7.50 extra)? *

Yes

No

Please let us know of any dietary requirements you may have

You can pay your fee directly to our bank account: Account Name: AFFIRM COUNCIL TRUST BOARD Account No: 38-9014-0482064-01 Particulars: Conf Fee Code: C2016-05 Reference: [Your name] OR write a cheque to AFFIRM COUNCIL TRUST BOARD with the names of the people whose registrations are being paid on the back, and post to: AFFIRM Council Trust Board 232 Withells Road Avonhead Christchurch, 8042 OR pay by cash or cheque on the day.

You are here

AFFIRM Conference 2016 Registration

Reftagger