Event Registration R18
25-28 April 2019
22 Homestead Ave, Collaroy Beach, 2097
KPA Sydney
Full Name *
Your answer
Gender *
Class *
Email *
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Contact Number *
Your answer
Will you be driving your own car? *
How many people can fit in your car including yourself? (Put 0 if you don't drive) *
Your answer
Dietary restrictions *
Required
If you have any allergies, please specify here:
Your answer
Is this your first time attending rekoleksi?
Payment Details
Price:
Early bird (payment by 1 April 2019): $180
Normal price: $195 (Pendaftaran terakhir tanggal 11 April 2019)

Please transfer to:
Account Name: Jefry Halim (New Account)
BSB: 062303
Account Number: 1123 6700
Description: R18 (Name)

Contact Details
Nikki: +61 404 161 091
Jefry: +61 423 386 231
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