Conference Registration Form

Details
Church:	*
Names:	Mr Mrs Miss Ps *
Address:	*
Phone:	*
Mobile:	*
	Number of Pre-school children requiring care:
	Number of Day sessions:
	Night sessions:
Email:
Registration Type: * From 1st April
Full Registration $30 per person
Family Registration $60 per family (2 adults plus 2 school children)
Student/Seniors Registration $20 per person
Total Amount:	$
Payment options: *
Cash or EFTPOS, at Celebration Centre
Cheque, payable to Celebration Centre
Credit Card (Visa, Mastercard, Amex) - phone us with your details
Comments:
	* = required