Islam Conference Application
To book online, fill out the following details and click the 'Register' button when complete.
Step 1: (Enter your personal details)

First Name:
 *
Last Name:
*
Sex:
Male: Female: *
Residential Address:
 *
Mailing Address:
(If different from Residential address)
Phone Number:
 *
Mobile Mobile:
Fax:
Email Address:
 *
Date of Birth:
Country:
Local Church:
Personal Profile:

Step 2: (Select Conference Preferences)
Preferred afternoon breakout session:
Revelation Seminar training: Jon Paulien
Digital Photography
Rock Climbing
Recreational Activities (Squash, Swimming, Volleyball, Badminton, Basketball)
Understanding and using New Media
I realise that audio and video recordings maybe made and marketed. I give my permission for Avondale to capture my input if required.
Yes: No: *
Step 3: (Select Registration Packages)
Seminar:
 Seminar (Excluding meals and accommodation) $140
Seniors / Students Discount:
 Less seniors / students discount (7%) -$10
Spouse Discount:
 Less husband and wife attending discount (7%) -$10
Board:
 Board - single room (doubles available on request) $180
Meals (Select which meals required):
 18th19th20th21st22ndTotal
Breakfast ($10)  
$0
Lunch ($15)
$0
Tea ($15)  
$0

Early Bird Discount:
 Less early bird discount (expires 1st October) -$50
Balance:
Balance if paid by 1st October:   
Balance if paid after 1st October:
Payment Options:
To reserve my place I wish to pay the following amount:
 Full Amount:
 Deposit [non refundable]: $100
Special Needs: