Registration Form
Winter Living Theology 2022
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Please DO NOT click the pencil (bottom right) to edit this from. Please answer questions by selecting an option under each section or by typing your response on the line underneath the question (your answer). Thank you!
Please indicate
Do you require accommodation? (Tuesday 08.00 to Thursday 16.00) *
Required
Surname *
Name *
Telephone number *
Cell phone number *
Email address *
Physical Address *
Postal Code *
Denomination *
Name and number in case of emergency *
Dietary Requirements *
COSTS
For the three-day lecture series (excluding accommodation)
R1950

Day rate - R750 per day, if only attending 1 or 2 days
Payments:                                                                                                                              Jesuit Institute Trust                                                                                                   Standard Bank Current Account: 300 087 659                                                             Branch Code (Universal code) 051001                                                                     Reference: WLT + surname                                                                               Please email proof of payment to: retreats@jesuitinstitute.org.za         
The Jesuit Institute - South Africa undertakes to ensure the integrity of personal information in its possession or under its control by taking appropriate, reasonable, technical and organisational measures to prevent loss of, damage to or unauthorised destruction of personal information and unlawful access to or processing of personal information.
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