Conference Reply Form

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Submit by October 27th

Pastor's Name *

Email *

Name of Church *

Pastor's Section

Attending conference *

Self

Wife

Motel reservations are required *

Yes

A cot is required (for infants only) *

Yes

Additional Sponsored Delegates:

Number attending

Names of Delegates

1
2
3

Additional Notes

Pastors Please Note:

1. Changes cause great inconvenience to both the motels and Footscray staff; therefore, changes will not be made to bookings after October 27th.

2. Sponsored delegates are provided with 5 nights accommodation only. You and/or your delegate will be responsible to arrange and pay for any additional nights and costs you incur at the motel.