Contact in case of emergency |
Name: | |
Relationship: | |
Address: | |
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Telephone: | (Home) |
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Any special dietary requirements? |
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Have you previously been involved in this program? Yes No |
Are you willing to “car share” with other people? Yes No |
Please note that the cost for Eco-Spirituality programs is $630 but $730 for Angepena |
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Please make cheques payable to: THE DIOCESE OF WILLOCHRA |
Visa, Mastercard or Bankcard facilities are available. 3% surcharge applies for credit card transactions |
Payment by monthly installments or other agreed to arrangements is quite acceptable. COST INCLUDES: Accommodation, meals, facilitation and transport to areas where non-conventional vehicles are required. |
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