Australian GLBT SDAS

Registration Form - Kampmeeting 2011

*denotes required fields

*	Name:
	Attending Partner's Name:
*	Mailing Address:
*	City:		* State / Province
*	Country:		* Postal Code:
*	Phone:		* Mobile:
*	E-mail Address:
	Please indicate your attendance	Friday Saturday
	Accommodation is at your own arrangement. Cost for weekend $99. Money needs to be in by the 31st August 2011. Cheque / Money order made out to N Thorpe.