Register Online Here - Victory Conference 2012 - I hear the sound of joy

Payment Details

Single
Early Bird One (before 31 Jan 2012) - $145 AUD
Early Bird Two (1 Feb - 30 Jun 2012) - $170 AUD
Standard (after 30 Jun 2012) - $185 AUD

Married Couple
Early Bird One (before 31 Jan 2012) - $265 AUD
Early Bird Two (1 Feb - 30 Jun 2012) - $315 AUD
Standard (after 30 Jun 2012) - $345 AUD

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All fields marked with an asterisk mean that they are compulsory. No refunds given.

Title
First name/s *
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Spouse's First Name
Address *
Suburb *
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Country *
Email *
Phone *
Registration Type *
Are you interested in attending an Elective?
How did you hear about Victory Conference 2011?

City Wide Kidz Programs Registration (if applicable)
Child One	Name: Age: Special Needs:
Child Two	Name: Age: Special Needs:
Child Three	Name: Age: Special Needs:

Victory Life International Affiliates Only
Affiliated Church/Ministry Name
Position Held

On submission, this form will redirect to Victory Life Centre's secure online registration facility. No refunds given.