LSF National Conference 2010-11
28/12/2010 to 02/01/2011
Crystal Creek Christian Camp, Alexandra VIC

To register, please fill in the form below, or download a PDF version here [200kb]

Name

Address

 

Suburb/Town

State

Postcode

Church

Contact no.

Email

Gender

Date of birth

Special dietary
requirements

Emergency
contact

Name

Contact no.

Relationship

Any medical
conditions

Registration
type

Year 12 student ($200)

Tertiary student ($250)

Worker ($265)

Weekender ($130)

I have:

 

If paying by cheque/money order, send it to:
National Conference 2010-11 c/o 2/211 Gordon St COBURG VIC 3058.
Email the address at the bottom of this page to ask who to make the cheque/money order payable to.

BSB: 063408 Account no: 10087460 Account name: Lutheran Student Fellowship
If transferring, state the first initial of your first name, your last name and "conf". For example, "sjuersconf".

 

Do you wish to purchase a T-shirt for $20?

If yes please select the size




If you have any problems registering, please email the 2010-11 National Conference Committee at conference2010[AT]lsf.org.au