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27th NSW Rural Women’s Gathering
1 – 3 November 2019 REGISTRATION FORM AND TAX INVOICE
Walcha Council ABN: 24780320847
Please complete form in full, including workshop/tour choices and partner’s program, if applicable.REGISTRATIONS CLOSE 8:00pm Friday 18 October 2019
Registration Details (please print clearly)
First Name: ………………………………………………………………… Surname: ………………………………………………………….
Address: ………………………………………………………………………….……………………………………………….………………………
City/Town/Suburb: .......................................................................... State ……………… Postcode: ……………
Phone/Mobile: ……………………………………………..... Email:…………………………………………………………………………….
…………………………………………………………………………………………………………………….………………………………………………………………
Part 1: Please select registration options below:
☐ FULL Registration $255Includes Friday, Saturday and Sunday program, workshops1/tours1, and breakfasts, lunches, morning and afternoon teas on Saturday and Sunday2, Friday evening welcome event and Saturday evening Gala Dinner, entertainment on Friday and Saturday evening, 1 complimentary drink on arrival at Friday and Saturday evening events
☐ PARTNER’S PROGRAM $60 Partner’s Name:
…………………………………………………………………………………..Includes breakfast, morning and afternoon tea, lunch, BBQ dinner at Star Safari on Saturday, breakfast, morning tea and lunch on Sunday, and transport to venues. NOTE: Excluding Gala Dinner
Disclaimer: Photographs of attendees taken at the 2019 NSW Rural Women’s Gathering will be shared on the NSW Rural Women’s Gathering Facebook page and may be used by RWN to promote future NSW Rural Women’s Gatherings.
Note 1: Some workshops/tours attract an additional cost. Note 2: Full registration concludes at lunchtime Sunday.
Day/event only registrations
☐ FRIDAY Evening Welcome Event only – $65Includes substantial canapés, guest speaker, entertainment, 1 complimentary drink on arrival to event.
☐ SATURDAY Day only - $80Includes speaker session, workshops1/tours1, breakfast, lunch, morning and afternoon tea. NOTE: Does not include Gala Dinner
☐ SATURDAY Gala Dinner only - $130Includes Gala Dinner Saturday evening, entertainment, 1 complimentary drink on arrival. NOTE: Places will be allocated to Full Registration participants in the first instance
☐ SATURDAY Workshop1 / Tour1 only - $20 per workshop1/tour1. NOTE: Places will be allocated to Full Registration participants in the first instance. In some instances, workshops / tours attract an additional cost.
☐ SUNDAY 1/2 Day Registration - $65 (Sunday only including speaker sessions, Gathering finale, breakfast, morning tea and lunch)
PO Box 252, Walcha, 2354 │e: [email protected] │w: www.rwg2019walcha.com │t: (02) 6777 8191
Name:_____________________________________________________________________________Creating a Natural High Pg.1
REGISTRATION - 2019 NSW RURAL WOMEN’S GATHERING - WALCHA
SATURDAY WORKSHOPS / SHORT TOURS
Part 2: Please select 3 choices from Session A and Session B in order of preference and write the workshop number and title on the lines below. Every effort will be made to meet your preferences but cannot be guaranteed. If you would prefer to participate in a short tour, please choose 1 only of the 2 tours below and please do not select any workshops / short tours.
Please include any costs for your preferences to your total payment. This will be refunded if your preferences are not met.
SESSION A – 2:00PM – 3:30PM SESSION B – 4:00PM – 5:30PM1st Preference…………………………………………………. 1st Preference………………………………………………2nd Preference……………………………………………….. 2nd Preference…………………………………………….3rd Preference……………………………………………….. 3rd Preference……………………………………………..
OR SATURDAY LONGER TOUR LEAVE 1.30PM, RETURN 5PM
☐ Sunhill Dairy Goat Farm Additional cost of $10 Includes tour, cheese tasting and transport…………………………………………………………………………………………………………………….………………………………………………………………FREE EVENTSPlease tick if you will be attendingSATURDAY Stroll along the Apsley River 6:30am – 7:15am ☐SUNDAY Ecumenical Service 7:30am – 8:30am ☐ Off the Track Training (Joy McClymont Exercise Session via Live Stream) 7:00am -7:30am ☐…………………………………………………………………………………………………………………….………………………………………………………………SPECIAL REQUIREMENTSFood allergies or specific dietary requirements (select from below):☐ Vegetarian ☐ Vegan ☐ Dairy Free ☐ Gluten Free
☐ Food Allergies (please specify) …………………………………………………………………………………………………..
Do you have any specific access requirements? YES ☐ (please state) …………………………………………………………………………
If you require access to childcare services during the Gathering, please contact Patricia Marson on 0412 732 036.…………………………………………………………………………………………………………………….……………………………………………………………
TOTAL PAYABLE $ (Part 1+2): ………………………………….(all amounts include GST)
PAYMENT DETAILS: Please make payment when submitting your registration☐ Cheque – Please make cheque payable to ‘Walcha Council’ and enclose with your registration form.☐ Direct Deposit / EFT to
Account Name: Walcha Council General Fund Bank: NAB BSB: 082 885 Account: 509987055
Date Payment was Made: …………………. Use Reference: RWG19REGO…………………………… (Add initial and surname)
PO Box 252, Walcha, 2354 │e: [email protected] │w: www.rwg2019walcha.com │t: (02) 6777 8191
NAME: Pg.2
REGISTRATION - 2019 NSW RURAL WOMEN’S GATHERING - WALCHA
Registration forms are to be emailed to [email protected] OR posted to PO Box 252, Walcha, 2354. Registration will be confirmed via email or post once payment has been received. Refunds will only be offered until Monday 14 October 2019. (please note, a $50 administration fee will be withheld for all cancellations)…………………………………………………………………………………………………………………….…………………………………………………………………For Office Use Only: Payment Received: YES ☐ TYPE: Cheque/EFT/DD Date: ………………………….Confirmation Sent: YES ☐ Date: By Email ☐ or Post ☐………………………….
PO Box 252, Walcha, 2354 │e: [email protected] │w: www.rwg2019walcha.com │t: (02) 6777 8191
NAME: Pg.3
