Depression & Emotional Wounding
Recovery & Prevention Seminar, led by Dr. Grant Mullen
|
Click here
for an
Registration Form pdf
Instructions:
You are invited to print this page off, then complete it and either
post or fax it to our office. Contact details at end of page)
|
| Please print
clearly - photocopies are welcome. |
| 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 |
| Name: |
___________________________________ |
| Postal
Address: |
___________________________________ |
| ___________________________________ |
|
| Phone: |
_________________________ |
| E-mail Address: | ___________________________________ |
| Church Affiliation: | ___________________________________ |
| Church
Position held (if any): |
__________________________________ |
| I
am paying by: [_]-Cheque [_]-Money Order [_]-VISA [_]-MasterCard (EFTPOS available at the Venues) |
|
| Amount
Enclosed: |
$__________
(See Fee Schedule below.) |
| Name
on Credit Card: |
____________________________________ |
| Card
Number: |
________
/ ________ / ________/ ________ |
| Expiry
Date: |
________
/ ________ |
| Cardholder
Signature: |
____________________________________ |
| Cardholder's
Signature required for Credit Card Payments only. |
|
Please make cheques and money orders payable to
Jubilee Resources NZ. (Receipts will be issued.) |
|
| Post
to: |
Jubilee
Resources NZ Freepost 4014 P. O. Box 36-044 Wellington 5043, New Zealand |
| FAX
to: |
(64)
04 939-1911 |
| E-mail
to: |
registrations@jubilee.org.nz |
| REGISTRATION FEE SCHEDULE | |||
Category |
Single |
Couple |
Student/ 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. |
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| 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. | |||
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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. |
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If you have any queries, please contact our office.
Our phone number is (64) 04-939-1910 Updated 9 July 2008 |
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