Healing the Broken Body - Conference Registration Form

Personal Details:

 Name:  
 Address:  
 City / Suburb:  
 State:  
 Postcode:  
 Telephone:  
 Email:  
Cheque:
Bankcard:
MasterCard:
Visa:
Expiry: Card Number: _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
Signature:  

Conference and Seminar Registration Fees and Information:

Please register me/us for the conference &/or seminar as indicate below
Ages of children:
I would like to make a donation to assist low income people attend the conference
Program and Meal
 
Regular
Unwaged
No. Attending
Subtotal
Registration fees (per adult)
Conference
$180
$135
 
 
Conference Early Bird discount (register before 30th April)
-$50
-$50
 
 
Pre-conference Retreat
$90
$65
 
 
- with Conference
$60
$45
 
 
 
Post Conference Workshop
$140
$100
 
 
- with conference
$120
$80
 
 
Workshop or Retreat Early Bird discount (register before 30th April)
-$20
-$20
  
 
Kids program (per child aged 3 - 9)
with conference or other single event
$40
 
 
with two or more events
$60
 
 
 
 
 
 
 
 
Accomodation (per Adult or student - children under 9 free)
Cabin - 2-3 nights
$40
NA
 
 
Hotel (2 nights) - off site (including transfers)
$110
NA
 
 
Hotel (3 nights) - off site (including transfers)
$150
NA
 
 
Sub-Total  

Conference Donation

 
Less 15% discount for Zadok Members
Total Registration Fees
 

Discounts

Zadok Members Discount* - 15% off

The conference program will run from around Friday 9th to after lunch Sunday 11th August. Associated seminar programs will be advised as soon as possible. On-site accomodation will be available to those attending both the seminar and the conference.

Greenhills Conference Centre is a facility of the Uniting Church located 20 minutes from the centre of Canberra, offering a range of self-contained four and six berth cabins. In most cases there will be a need to share rooms. (Please indicate anyone with whom you would like to share.) Off-site hotel accomodation close to Parliament House is also available for a surcharge. Daily transport to and from the conference is included at no additional charge.

Registrations close 20th July 2002. Cancellations before this date will incur a $50 processing fee. Registrations and refunds for cancellations after this date will be at the discretion of the conference organisers. All registrations must include a $50 deposit

Transfers from Canberra airport, train, and bus stations will be available by arrangement. Group transport from other cities will be offered if there is sufficient interest.

Post or fax all registrations to:

Zadok Institute
PO Box 2182
Fitzroy 3065
Australia

Phone 0500 594 500
Fax 0500 594 501