Home
About Us
Vibrance Laughter
Vibrance Women
Resources
Contact Us
Women's Retreat Days
7 Day Women's Retreat
VWCW Women's Conference
VWCW Conference 2010 Pre-Sale Registration Form
Step One:
Complete your registration form
E-mail Address:
*
First Name
*
Last Name
*
Address
*
Suburb
*
State
*
Postcode
*
Country
*
Date of Birth (dd/mm/yyyy)
*
Best contact number (ideally mobile)
*
Alternative contact number
Occupation
Company
I will be attending
*
with my gorgeous self!
with a friend
with my mother
with my daughter
with my sister
with my partner
with a group of friends
with my workplace
other
Please enter their name(s) here
Payment Method
*
Cash via Bank Transfer
Credit Card via Paypal
How did you find out about Vibrance Womens Celebrating Womanhood Conference?
*
Vibrance Weekly Infusion
Vibrance Womens Sisterhood
Vibrance Laughter
Facebook
A Friend or Colleague
Kathy Popplewell
Other
I acknowledge that accomodation and meals are not included.
*
I understand that cancellations and transfers will incur a $50 fee and that cancellations within 7 days of the event are non-refundable.
*
*
Required
