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					      Early Bird
      Registration
                                                                                                                         20-23 September 2010



               Early Bird available until 30th June 2010.

                             Single $150                                            Married Couple $200
                             Concession $100                                        Group Booking $120 per person
                                                                                       (minimum 5 people)
               Total $



REGISTRATION DETAILS:
Name(s):

Address:

Suburb:                                                                                  State:                        Postcode:

Phone:                                                                     Email:

Church:                                                                                  Position:

Morning tea will be provided for all delegates free of charge.

PAYMENT METHOD:
       Cheque or Money Order (enclosed)                                      Visa               Mastercard

Name on Card:

Card Number:                                                                                                            Expiry date:                /

Signature:                                                                                                                     Total: $




Please post or fax completed form by 30 June 2010 to:
                                                                                                    IMPORTANT:
           Crossway Conference
           2 Vision Drive                                                                            Opt out: If you don't want your
           Burwood East, Vic 3151                                                                     contact details to be passed on to our
                                                                                                      sponsors tick this box.
           Fax: 9886 3711


GST: The registration price for the Conference does not include GST as the Conference is considered a ‘religious service’. Should you require a tax invoice for
your records, please photocopy the registration form prior to returning it to us.
REFUNDS: A fee of $25 per person will apply to any cancellation made before 31 July 2010. No refund will be made after this date. Your registration may be
transferred to another person. Please inform the conference office of any such changes.
You are able to transfer your registration only once to either another person or to the following conference year (subject to availability). Please note that
refunds are not available for transferred registrations. Your registration and payment confirm that you have accepted this policy.
DISCLAIMER: Photos and video footage will be taken throughout the conference. Crossway reserves the right to use this material for future
promotional purposes.

				
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Description: Early Bird