Name* :
 
Jesus Calls Partner No.(if any)
Mobile No.* :
   
Email ID * :
 
House No./Street* :
 
Address* :
 
City* :
 
Country* :
 
State* :
 
Postal Code* :
 
Food Preference* :
 
Age Group* :
 
Wheel Chair? :
Any other special needs:
 Select No. personsTotal Amount
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Total Amount to pay :
( in Australian Dollars )