The Male Journey Men's Retreat 2008 Rego Form

Details of Person Registering

Electronic registration: Fill out one form for each person registering. To make multiple registrations, you will need to fill out this form again after submission.

Registration by mail: Please print pdf rego form (pdf link below) and mail to the DirectionsTas, paying careful attention to the conditions of registration outlined on the Registration Form. Again, fill out one form for each person registering.

Printable Rego Form

 

First Name     Surname     Age
 
Address     Suburb/City     State     Postcode
 
Phone (Hm)     Phone (Mob)     Email
 
Special Dietary/Access/Other Needs

Emergency Contact during the retreat (other than you!):

Full Name     Phone during Retreat
 

Conditions of Registration

Please note that DirectionsTas is unable to process your registration without full registration details.
GST: The registration price of the Men's Retreat does not include GST as the Men's Retreat is Not For Profit.

Photography & Video Consent: Sections of the Men's Retreat experience may be captured in both photographs and video. DirectionsTas reserves the right to use this material for promotional purposes.

Please tick this box if you do not wish to be used in video footage for DirectionsTas promotion and training.

Privacy Policy: Our privacy policy is available on this Privacy Policy link - we may utilise your information to notify you of news at DirectionsTas and provide it to third parties who help us provide services to you. To request access to your information, please email info@directiontas.com.au. Alternatively contact DirectionsTas on Ph 0408114749, Ph 0408114749.

Please tick this box if you do not wish to receive promotional material from DirectionsTas.

Submitting Your Registration

    Mail pdf rego form to address: DirectionsTas Registration, 52 Cilwen Rd, Cambridge, TAS, 7170.

    Or

    Submit this online registration below.

Paying Your Registration

    The registration fee for The Male Journey Men's Retreat 2008 event is $125.00 per person.

    Cash, Cheque, Money order are all acceptable. Cheques and money orders made out to DirectionsTas.

    Or

    Registration fee can be payed directly to the following account:

    Westpac Bank, Rosny

    BSB No. 037014

    ACC No. 211756

    Please note: if this option is chosen please forward a Payment Reference Number So that we can track and confirm your payment.

When DirectionsTas Receives Your Registration

You will be contacted to confirm your registration and will be forwarded information regarding your preparation for the retreat.

If you have any enquiries regarding the cost of registration or the process of registering please do not hesitate to contact us.

Please do not hesitate to contact us if you are unable to afford the registration fee as we feel that it would be greatly beneficial for you to register and attend the retreat.

Look forward to hearing from you.

Phil Harback - 0418 123 338                   Phil Francis - 0408 114 749