Welcome to the 2017 Lasallian Women's Symposium Registration Form
To register for the 2017 Women's Symposium being held in Auckland, New Zealand from Sunday, 16 July to Wednesday, 19 July 2017, please complete the form below:
Name (First and Last Name):
Preferred Name:
Name of Lasallian Workplace:
Your role:
Preferred way to receive Symposium Information:
If your preferred way to receive Symposium Information is by postal mail, please list your address below:
If your preferred way to receive Symposium Information is by email, please list your email address below:
Person to contact in the event of an Emergency (name and telephone number):
Do you have any special dietary requirements:
Do you have any needs:
If you listed Other above, please indicate below:-
The Conference Cost is $1200.00 This includes all meals, conference materials, activities and three nights accommodation. It does not include alcoholic drinks, or personal expenses such as phone calls or internet. Included in this cost is Hotel accommodation valued at $660.00 (private room) for the three nights of the Symposium. Should you wish to share a room (twin share), the total Conference Cost will be reduced to $870.00. Please list your ACCOMMODATION PREFERENCE BELOW:
If you are sharing a room, is there a person you would like to nominate to share with. Please indicate their name below:
Do you agree to pay the Conference Costs? (An invoice will be sent to your nominated email address)
If you require financial assistance, please email Julie Alibrandi, Operations Manager, Lasallian Mission Services at juliealibrandi@delasalle.org.au or by postal mail to Julie Alibrandi, 26 Meredith Street, Bankstown NSW 2200, Australia.
Thank you for completing this Registration Form.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service