Securing the Future workshop registration form

Please complete the following form to register for the Securing the Future – Crafting a Good Life, on Thursday 16 November 2017. All persons planning to attend the conference must register in advance. Registration includes lunch, morning and afternoon tea.

 

Personal Details

Name

Address

Telephone

Mobile

E-mail

Conference Planning

To ensure you are able to fully participate in this conference please complete the following:

I use a Wheelchair
I have a Service Dog
I require Large Print
I require a Hearing Loop
I require a Sign Language Interpreter
Other, Please Specify

Dietary Requirements or Preferences
Gluten Free
Dairy Free
Vegetarian
Vegan
Other, Please Specify

Payment

Cost
$175 Early Bird price till Sun 1 October 2017

$200 Standard price from 2 October 2017

All registrations will be invoiced to the provided e-mail address and are to be paid prior to the event.  Please remember that you can use your Individualised Funding to pay for this event.

Cancellations
A cancellation fee of $50.00 will be applied to any cancellations made prior to 1 November 2017 to cover administration costs. Any refunds after this date will be at the sole discretion of Manawanui InCharge.

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