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Event Registration Form

The Event including breakfast will be held on:
 
Date: 27 October 2021
Time: 7.30am to 09.30am
 
Location: William Street Family Therapy Centre, 544 William Street, Mount Lawley 6050
 
Parking: Available on-street
 
Please fill in the event registration form below to register to attend.
 
BREAKFAST, NETWORKING & PERFORMANCE:
 
Breakfast will be served on arrival and refreshments available.
 
Should you have specific dietary requirements please email those to info@afcas.net, by no later than 24 October 2021.
 
 

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your email address?

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* 4. What is your phone number?

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* 5. Do you work or volunteer in an organisation?

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* 6. We would appreciate your feedback on which of the following services you would be interested in:

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* 7. Will you be attending the Kavisha's performance from 7.30 to 9am?
(if yes please register with a nominal fee of $10 ($5 for AfCAS Members)

Payments should be made to:
Account Name: AfCAS
BSB: 066000
Account No: 12399310
Reference: "Your Surname" and " Kavisha"

Once payment is received, you will registered

Thank you for registering for this event and for your feedback. We look forward to seeing you at the event.
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