Registration for The Apostolic Church 2008 National Conference

Please fill in the form below and we will contact you shortly.

Title: 

   

Surname: 

  

First Name:

Spouse Name (if attending): 

  

Home Address:

Suburb: 

  

State:

  

Postcode:

  

Church Name:

Church Town / Suburb: 

  

Home Phone:

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Work Phone: 

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Mobile: 

  

Email:

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Payment:
Full: $110 per person after March 28th 2008

   

Accomodation: 
Refer to invitation for prices

Fellowship Meal: 
$25 per person

  

Total Amount (Read only): 

  

Payment Method:

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Card Holder's Name: 

  

Card Number: 

    

Expiry Date: 

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Do you need child minding?

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On successful registration, you will be redirected to the thank you page.