Booking Form


Depression & Emotional Wounding Recovery & Prevention Seminar, led by Dr. Grant Mullen.

REGISTRATION FEE SCHEDULE

CategorySingleCoupleStudent/Unwaged
Door Registration: $59 $110$49
"Early Bird" Registration:$49$90$39

(Early Bird means we receive your Registration including payment in full, at our office by 31st July, 2008. Receipts will be issued. Amounts shown are suggested donations to ensure all costs are covered.)

Subject to space available - Rights of Admission Reserved.

Registration Fees are a suggested donation to cover the costs of bringing Dr. Grant to New Zealand, and to cover the other costs associated with holding these seminars. Freewill offerings will be taken as a gift for the speaking and ministry.

Professional Development Certificate of Attendance will be provided & posted upon request for administration fee of $5.00.

If required, please tick here: Yes No
Subject to space available.

If you have any queries, please contact our office.
Our phone number is (64) 04-939-1910
Updated 9 July 2008

I will be attending the seminar at:
AUCKLAND - Sat. 2nd August 2008

DUNEDIN - Tues. 5th August 2008

CHRISTCHURCH - Thurs. 7th August 2008

WELLINGTON - Sat. 9th August 2008

I am paying by:
Cheque

Money Order

Visa

Mastercard

YOUR DETAILS:

Name For couples, please enter each spouse's name
Address
Suburb
Postcode
E-Mail
Phone
Church Affiliation
Church position held (if any)
Amount Being Paid: $  
Name on Credit Card  
Card Number  
Expiry Date Month:   /Year:

 

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