Leading through change
20th - 22nd July 2021 | Mantra Legends, Surfers Paradise QLD
Personal Details
Name
*
First Name
Last Name
Preferred name
This will be used for your name tag
Email
*
example@example.com
Mobile Number
*
This will be used for SMS reminders
Which site are you from?
*
E.g. camp/venue/location/business
Do you have any special diets?
*
Yes
No
Please select your special diets:
Vegetarian
Vegan
Gluten Free
Dairy Free
Other (please specify below)
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Payment
Categories:
All
All
Conference Fee
Accommodation Options
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( X )
Conference Fee
Leaders Forum Conference Fee
Does not include accommodation or breakfast. Shown price does not include GST (total price inc GST is $495). This fee is per person.
$
450.00
AUD
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Item subtotal:
$
0.00
AUD
Accommodation Options
Twin Share (2 Nights)
2 nights accommodation with ocean view includes breakfast. No GST on accommodation. This fee is per person.
$
165.00
AUD
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Single Room (2 Nights)
2 nights accommodation with ocean view includes breakfast. No GST on accommodation. This fee is per person.
$
330.00
AUD
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I'll organise my own accommodation
Please note that breakfast will not be provided as part of the conference
$
Free
AUD
Name of Organisation to invoice:
*
e.g. Christian Venues Association
Additional Information
If 'Twin Share' has been chosen, please organise this and indicate the names here (or tell us you are happy for us to arrange this)
Are you interested in accommodation pre or post conference at Mantra Legends?
Please Select
Yes please
No thank you
Not sure yet
You will be entitled to the conference fee of $165 per room per night. Details in your confirmation email!
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Additional Attendees
Are you registering additional guests?
*
Yes
No
Guest 1
Guest 1
First Name
Last Name
Preferred name
This will be used for their name tag
Mobile Phone
Used for SMS Reminders
Please select your guests special diets:
Vegetarian
Vegan
Gluten Free
Dairy Free
Other (please specify below)
Do you want to register someone else?
Yes
No
Guest 2
Guest 2
First Name
Last Name
Preferred name for badge
This will be used for their name tag
Mobile Phone
Used for SMS Reminders
Please select your guests special diets:
Vegetarian
Vegan
Gluten Free
Dairy Free
Other (please specify below)
Do you want to register someone else?
Yes
No
Guest 3
Guest 3
First Name
Last Name
Preferred name
This will be used for their name tag
Mobile Phone
Used for SMS Reminders
Please select your guests special diets:
Vegetarian
Vegan
Gluten Free
Dairy Free
Other (please specify below)
Do you want to register someone else?
Yes
No
Guest 4
Guest 4
First Name
Last Name
Preferred name
This will be used for their name tag
Mobile Phone
Used for SMS Reminders
Please select your guests special diets:
Vegetarian
Vegan
Gluten Free
Dairy Free
Other (please specify below)
Do you want to register someone else?
Yes
No
Guest 5
Guest 5
First Name
Last Name
Preferred name
This will be used for their name tag
Mobile Phone
Used for SMS Reminders
Please select your guests special diets:
Vegetarian
Vegan
Gluten Free
Dairy Free
Other (please specify below)
Do you have any questions or additional information to add?
Please do not hesitate to contact Kelly on ksmith@christianvenues.org.au
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