Register for the C-HOP Fundraising Dinner

Please Register with us for the Canberra House of Prayer Fundraising Dinner – 29th February, 2024.

Please select all the options specific to your particular needs.

C-HOP Fundraising Dinner Registration Form

Title

Full Name

Mobile Number

Phone Number

Email Address

Number of Attendees

Please select any/all options pertaining to you (optional) Please select any/all options pertaining to you (optional) I Require Accommodation in order to attend the Fund Raising Dinner

Dietary Requirements (optional) Dietary Requirements (optional) Gluten Free Lactose / Dairy Free Vegetarian Seafood Allergy Nut Free Other (Please specify in the message below)

I would like to be a Table Host I would like to be a Table Host YES NO

Message/Comments

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