Conference Registration

When your star rises deep within, trust yourself to its leading
You will have light for your first steps
This is trasna, the crossing place
Raphael Consedine pbvm (1996)

Registration Form

Delegate Details

(please complete all sections clearly in capital letters)

* Indicates required field

Title *

Name *

First

Last

Ministry *

Position in Ministry *

Email address *

Mobile *

Special Requirements (dietary or otherwise) *

Consent *

I consent to my details being circulated via the delegate list

Submit

Location of Conference

Grange Cleveland Winery
55 Shannons Road, Lancefield, Victoria 3435.
(approximately 40 mins drive from Tullamarine Airport)
Freecall: 1800 803 377

Registration Information

$500 (ex GST) inclusive per delegate.
Please pay on registration due Monday 4 July.

We will invoice your Ministry at the end of the Conference.
When making payments, please quote your Ministry
Kildare Ministries
BSB: 062 246
Account No: 010255222

Enquiries

Please direct any enquires to: Monica Lang
P: 03 9690 2103
E: [email protected]

Cancellation Policy

Please submit your Registration by Monday 4th July 2016. Once numbers are finalised, Kildare Ministries will incur full costs.
Therefore, a cancellation fee of $250 will be charged after this date.
Disclaimer: The conference registration is correct at time of printing