Registration for Strengthening The Will - Paekakariki, October 2021
Welcome to the on-line registration form for our upcoming Strengthening The Will in Paekakariki.  This course will be held 16-17 October 2021, at Ramaroa Rooms, Queen Elizabeth Park, Paekakariki (https://goo.gl/maps/zVgPpsZQ3ABwUzWZ9). This form will guide you through the sections for your personal details and tuition fee.  Please note that payment is possible by on-line bank deposit or cash; credit card payments are not supported.
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Personal details
First name *
Last name *
Postal address
City
Post code
Country
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Primary phone number
email *
Course related details
Select the applicable tuition fee.
To qualify for the Early registration fees, the tuition fee has to be received in full by no later than 1 October 2021.
Tuition fee *
Payment *
Please select the payment option:  Payment of the non-refundable deposit of NZD150 due at the time of your registration secures your place, any outstanding balance is due by 1 October 2021. To qualify for the early registration fee your tuition fee must be paid in full by that day.
Payment method *
Indicate how you will pay - direct debit / on-line banking is preferred.  Pay directly into our bank account: KAIROS FOUNDATION, 03-0430-0268832-00 Reference:  Participants name, Particulars:  STWPAE202110
Payment date *
Please let us know the date of your payment
How did you get to know about the course?
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Who offered / recommended this course to you?
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