EmailMe Form - Godly Play Core Training

Name *
Placement/Congregation *
Role/Title *
Phone Number (Pref Mobile) *
Email
Emergency Contact Person *
Emergency Contact Phone Number *
Dietary requirements?
Accommodation *
I do not require accommodation
I have arranged my own accommodation
I would like the presbytery to arrange accommodation (billets will be arranged)
Which nights do you require accommodation?
Payment
$450.00 *
Bank Transfer (I have made a direct deposit to UCA Presbytery of Tasmania ANZ BSB 017042 Account Number 1094 99044 using my surname as reference))
Cheque (Cheques payable to UCA Presbytery of Tasmania, PO Box 1076, Launceston 7250)
I will make a payment at the UCA Tasmanian Office, 36 Paterson Street Launceston
Any other matters?