DANIEL 2:44 :: Law, Lordship and Liberty with Jeffery Ventrella

Registration

If you would prefer a handwritten form click here to download a printable PDF version.

Your details

Name(s)

Address

Phone

Mobile

Fax

Email

Airport transfers

Arrive

Day/time Full flight no.

Depart

Day/time Full flight no.

I am yet to finalise transport, I will forward details when available

Conference registration

Full conference (Fri/Sat/Sun) attendees @ $210 pp

Part conference (from Fri dinner) attendees @ $175 pp

Accommodation

I require accommodation at the venue

2 nights at Belconnen Premier Inn, includes full breakfast

Twin/share  (2 x single beds) attendee/s @ $162 pp

Couple  (1 x queen bed) couple/s @ $324/couple

Single  (own room) attendee/s @ $294 pp

I have alternative accommodation and transport to and from the venue

I am unable to attend this conference but would like to be kept informed of future events of Daniel 2:44.

Donation $

TOTAL ENCLOSED $

Payment options

CHEQUES/MONEY ORDERS: Please click your browser's 'print' button to print this form and mail with payment to:
Daniel 2:44, 200 Florey Drive, Charnwood ACT 2615.

BANK TRANSFER/EFT: Please click your browser's 'print' button to print this form for your records. Then click the submit button below and transfer funds to this account:

Account name: Daniel 2:44
BSB: 012 951
Account number: 260 066 903