Festival of the Family

Conference Registration

Kempsey Family Support Service Inc
PO Box 420, Kempsey NSW 2440
Phone: 6563 1588
ABN: 65/502/259/009

Kempsey Macleay RSL
Tuesday 23 October
Wednesday 24 October

Please print this form and send
it to the address given above

Contact Name: ______________________

Phone/Email: _______________________

Address: ___________________________

_________________________________

Organisation: _______________________







Conference Registration

Kempsey Family Support Service Inc
PO Box 420, Kempsey NSW 2440
Phone: 6563 1588
ABN: 65/502/259/009

Kempsey Macleay RSL
Tuesday 23 October
Wednesday 24 October

Please print this form and send
it to the address given above

Contact Name: ______________________

Phone/Email: _______________________

Address: ___________________________

_________________________________

Organisation: ____________________







Conference Registration

Kempsey Family Support Service Inc
PO Box 420, Kempsey NSW 2440
Phone: 6563 1588
ABN: 65/502/259/009

Kempsey Macleay RSL
Tuesday 23 October
Wednesday 24 October

Please print this form and send
it to the address given above

Contact Name: ______________________

Phone/Email: _______________________

Address: ___________________________

_________________________________

Organisation: ____________________









Registration & Payment Details
GST Included


Please tick the relevant admission details

 Two day admission $100
 Single day admission $50
 Pension/Health Care Card holder $20
 Cash Cheque


If you can only attend the Conference for one day, we need to know which day for catering purposes.

Tuesday
Wednesday


List the workshops you wish to attend
in order of preference:

Greg Griffiths
Beck Miles & Sofi Thompson
Robin Grille
Kerry Charlton








Registration & Payment Details
GST Included


Please tick the relevant admission details

 Two day admission $100
 Single day admission $50
 Pension/Health Care Card holder $20
 Cash Cheque


If you can only attend the Conference for one day, we need to know which day for catering purposes.

Tuesday
Wednesday


List the workshops you wish to attend
in order of preference:

Greg Griffiths
Beck Miles & Sofi Thompson
Robin Grille
Kerry Charlton









Registration & Payment Details
GST Included


Please tick the relevant admission details

 Two day admission $100
 Single day admission $50
 Pension/Health Care Card holder $20
 Cash Cheque


If you can only attend the Conference for one day, we need to know which day for catering purposes.

Tuesday
Wednesday


List the workshops you wish to attend
in order of preference:

Greg Griffiths
Beck Miles & Sofi Thompson
Robin Grille
Kerry Charlton