YWAM Canberra - Registration for YWAM's 50th celebration in Canberra 18.

CANBERRA JANUARY 2010
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Registration for YWAM's 50th celebration in Canberra 18. - 22. January 2010

Fill out the registration form below. Near the bottom of this page you will find a financial summary from the information you have given in the form. Review/change this information and click the button "click to submit" to open payment page.

Fees:

Evening meetings are open to all local Canberra people at no charge - you do not need to register
Registration fee: $130 per person for all days.Your registration is not valid until the registration fee is received
Accommodation option 1: Sorry, rooms/dorms on base are full. Try accommodation option 2 or 3
Accommodation option 2: $15 per person per night for camping
Accommodation option 3: Other accommodation. We recommend Canberra Carotel Motel, Red Cedars Motel or Hotel Formular 1 all within walking distance
Meals: Accommodation option 1 and 2 includes meals. If you are not staying with us, you can buy lunch ($5) and dinner ($5) at the base

For questions on payment, e-mail accounts@ywamcanberra.org.

ALL AMOUNTS ARE IN AUSTRALIAN DOLLARS
Go to the Exchange Rates Page for real-time currency conversions

Please Note : YWAM Canberra uses Web Advantage to provide a secure environment for the authorisation of credit card transactions over the Internet. Confidential information including client credit card details are encrypted the moment they are transmitted from your browser to the banking network using industry standard SSL 128-bit RC4 encryption technology.
Your credit card details are not stored anywhere on the Internet and the only company who has access to this data is our bank (Westpac). Westpac also sends confirmation information via the same encryption technology back to your browser.

These secure processes provide you with peace of mind when purchasing online.

Personal Details

Name (first/last) (REQUIRED)	Gender Male Female
Street Address
City	Postal Code
State	Country
E-mail (REQUIRED)
Phone
Fax
Accompanying spouse
Name (first/last)
Accompanying children
Name (first/last)	Age Gender Boy Girl
Name (first/last)	Age Gender Boy Girl
Name (first/last)	Age Gender Boy Girl
Name (first/last)	Age Gender Boy Girl
Name (first/last)	Age Gender Boy Girl
Name (first/last)	Age Gender Boy Girl
Celebration participation Your pay the registration fee online (see costs below).
	All days (5 days/4 nights) 19. - 22. January (4 days/3 nights) 20. - 22. January (3 days/2 nights)
	If you require accommodation beyond 18.-22. January, please correct the payment amount below and put arrival and departure date in the notes at the bottom of the registration page.
Accommodation Accommodation priority will be given to participant for all 5 days of the celebration.
	No shared room/dorm available Camping and meals - $15 per person per night No accommodation
	Children under 6 years: $10 per night. Children under 1 year: Free of charge.

Below is an overview of the payments associated with this form. Your registration is not valid until the registration fee is received. If you are not going to pay any of the listed amounts online now, uncheck the amount and go to Payments & Donations later to pay. Remember to give name and Payment type (Registration fee and accommodation)

	Payment Type	Person	Amount
			$
			$
			$
Important Note** : A 2% surcharge for credit / debit card payment is billed to YWAM Canberra by our financial institution.		2% Surcharge **	$
		Total ($AUD)	$

Notes (e.g. dietary requests, payment notes):

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