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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:
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First Name
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Last Name
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Address
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Suburb
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State
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Postcode
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Country
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Date of Birth (dd/mm/yyyy)
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Best contact number (ideally mobile)
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Alternative contact number
Occupation
Company
I will be attending
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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
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Cash via Bank Transfer
Credit Card via Paypal
How did you find out about Vibrance Womens Celebrating Womanhood Conference?
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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.
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I understand that cancellations and transfers will incur a $50 fee and that cancellations within 7 days of the event are non-refundable.
*
*
Required