CBC Event Registration Form

Event Registration Form

CONTACT DETAILS

Title: *

First Name: *

Surname: *

Email Address: *

Confirm Email Address: *

Mobile Number: *

Landline Number:

For catering purposes, please confirm your attendance for the 14 November 2019 Luncheon:

Confirmation of Attendance: *

Yes, I will be attending.

No, please offer my apologies.

Do you have any special dietary requirements?

No

Yes (please specify) Yes (please specify)

I Would Like To Order And Pay For Additional Guest Tickets:

Names of Additional Attendees

Do any of your additional attendees have any special dietary requirements?

No

Yes (please specify) Yes (please specify)

The Catholic Diocese of Wollongong complies with the Privacy Act 1988 (Cth) (Privacy Act) and the Australian Privacy Principles (APPs) in the Privacy Act. We respect and value the personal information that you are willing to entrust to us, and this policy explains how we collect, hold, use, disclose and otherwise manage that personal information. To read more about our Privacy Policy and Standard Collection Notice, please click here.

If you have any questions or difficulties with this form, please contact Debbie Gates at the Office of the Bishop, Catholic Diocese of Wollongong, on 02 4222 2446.

Please click continue to confirm your registration: