Register for the 10 Year Celebration with Direct Debit

Direct Debit Information

If you need to pay via Direct Debit please complete the following registration form. Once complete, please transfer the total amount into the below account.

Daughters of Promise
BSB 064-194
Account No 10277486

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

Other Attendee Details (If Required)

Name, Email, Phone

Number of Tickets Required

Tickets are $50 each.