You may print page and post with cheque (payable to DK Fullerton) to:

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Solemn Assembly

c/- 128 Peacocks Road

Hamilton 3206

OR

You may e-mail completed registration form and pay on entry.

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Registration  Form
for Solemn Assembly 10-12 October 2008

 

Name: …………………………………………………………………………………………………………………………………

 

Address: ………………………………………………………………………………………………………………………………

 

 ………………………………………………………………………………………………………………………………………………

 

Town / City : ………………………………………………………………………………………………………………………..

 

Phone : ……………………………………………………………………… 

Mob : …………………………………………………………………………

E mail : ………………………………………………………………………..

Church : ………………………………………………………………………

 

Cost  (circle one) :   $25 single  :   $40 couple  :   $20 one day

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send to DK Fullerton