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):
Name of Lasallian Workplace:
Preferred way to receive Symposium Information:
Postal mail to Address
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:
Hearing impaired assistance
Sight impaired assistance
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)
I require financial assistance to attend the 2017 Symposium
If you require financial assistance, please email Julie Alibrandi, Operations Manager, Lasallian Mission Services at
or by postal mail to Julie Alibrandi, 26 Meredith Street, Bankstown NSW 2200, Australia.
Thank you for completing this Registration Form.
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