W@W May24 Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

FIRST NAME:
*

SURNAME:
*

ADDRESS:
*

PHONE:
*

EMAIL:

EMERGENCY CONTACT NAME:
*

EMERGENCY CONTACT PHONE:
*

ECCLESIA: (if applicable)

HEALTH CONCERNS:
Please list any relevant health concerns such as allergies, mobility issues, food preferences etc.

VENUE:

Black Gold Motel

121 Main Street,
Wallerawang, NSW 2845 Australia

Dates: Friday, 17 May to Sunday 19 May 2024

FIRST PREFERENCE FOR ACCOMMODATION:

Please select your FIRST PREFERENCE from the list below. We will endeavour to meet this preference for you.

Please note that these accomodation prices are per person (pp) and do not include breakfast. Breakfast options can be nominated further down.

However, you may like to know now that 2 al a cart breakfasts are charged at an additional $60.

Alternatively, you are welcome to BYO. All rooms are equiped with a kettle, toaster, mini fridge and microwave.

Cabin/Villa - Shared room, shared bathroom (between 2-4 people) - $300 pp

Cabin/Villa - Own room, shared bathroom (between 2-4 people) - $335 pp

Twin Motel Room - Shared room, shared bathroom (2 people only) - $335 pp

Single Motel Room - Own room, own bathroom - $490 pp

SECOND PREFERENCE FOR ACCOMMODATION:

Please select your SECOND PREFERENCE from the list below.

Cabin/Villa - Shared room, shared bathroom (between 2-4 people) - $300 pp

Cabin/Villa - Own room, shared bathroom (between 2-4 people) - $335 pp

Twin Motel Room - Shared room, shared bathroom (2 people only) - $335 pp

Single Motel Room - Own room, own bathroom - $490 pp

ROOM BUDDIES:

If you are sharing a room, please list your preferred room buddies.

BREAKFAST OPTIONS:

Would you like to add 2 hot al a carte breakfasts to your booking, for an additional $60 for both?

Yes. Please add $60 to my weekend cost, for 2 hot breakfasts

No. I am happy to Bring My Own breakfast, utilising the in-room kettle, toaster, mini fridge and microwave.

ADDITIONAL COMMENTS:

Are there any other comments or requests you would like to make regarding your accommodation preferences?

IF YOU'RE EXPERIENCING FINANCIAL DIFFICULTY:

Would you love to attend, but struggle to meet the base rate? Through the kindness of other sisters, we will endeavour to meet your costs to attend. Please just let us know below how much you can comfortably afford to contribute, if anything. As always, your privacy will be respected.

IF YOU'RE IN A POSITION TO DONATE:

Are you in a position to donate to help fund a sister in need? If so, please state your donation amount below. Your kindness is greatly appreciated.

MY PAYMENT:
*

I am paying the full amount now - Accommodation + breakfast (if applicable) + donation pledge (if applicable)

I am paying $100 deposit now, plus any donation pledged above. (balance due 13th April 2024)

PAYMENT REFERENCE USED:

In order to correctly allocate your payment to your booking, kindly note your payment reference below:

TRANSPORT TO AND FROM THE VENUE:

Please select one or more of the following.

I intend to make my own way to the venue

Please contact me as I am able to offer someone else a lift to and from the venue

Please contact me as I require a lift to and from the venue

VOLUNTEER OPPORTUNITIES:

For our weekend together, I am willing to assist in one or more of the following ways:

Chairing

Praying

Reading

Music

Meditation

I would like to be involved in organising the Memorial Meeting

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms