AMT

AMT CENTENARY CELEBRATION &
SERVICE PROVIDERS' CONSULTATION
REGISTRATION FORM

The AMT centenary celebration will be held at Mueller Community Church (MCC, 75 Morris Rd, Rothwell) on 15 & 16 October 2010, starting with the celebratory dinner on Friday, 15 October. On 16 October there will be time to reflect on what has happened in world missions from the viewpoint of AMT and its missionaries, both past and present. The celebration is followed by the service providers' consultation (by invitation only) from the evening of 17 October to the morning of 21 October. The keynote speaker for the celebration will be Dr Kevin Dyer, founder of International Teams and Bright Hope International. A more detailed program will follow.

Please fill in and send this form to AMT by Friday, 30 July. A deposit payment of AUD$100 will be appreciated to confirm your intention to attend, and can be made either by providing credit card details below, by sending a cheque in AUD made out to AMT, or by direct transfer (this form is on a SECURE server. We have shared SSL with BlueCentral, our web host).

Name (required)	Postal address

Email address (required)	Phone number	Mobile/Cell number

The accommodation options and costs are as follows:

Duration of Attendance	Motel Unit	MCC Unit	Home Billet
Friday-Thursday 15-21/10/2010 (Centenary & Consultation)	for single/for couple$600/$700	for single/for couple$350/$500	for single/for couple$250/$400
Sunday-Thursday 17-21/10/2010 (Consultation only)	for single/for couple$400/$500	for single/for couple$300/$400	for single/for couple$200/$300

Lunch is provided on 16/10 and 18-20/10/2010. Dinner is provided on 15-20/10/2010. Please specify below whether you need
transport to and from the airport. Include any other details in the box at the bottom of the form.

Number attending

Transport needed (please specify flight details)

	Arrival date & time		Airline & Flight no.
	Departure date & time		Airline & Flight no.

Payment type	Credit Card - type: VISA MasterCard Cheque (in AUD payable to Australian bank; please add $20 if overseas) Direct (please add $20 for transfer fees)
Direct transfer to:
Bank address	Westpac, Eastwood Branch, 144 Rowe St, Eastwood NSW 2122
Account name	AMT Trust Account
BSB	032080
Account no.	151023
SWIFT Code	WPACAU2S (for overseas transfer only)
Payment amount $
Name on card
Card number		Card expiry

	Meals (for catering)	ALL meals Friday 15/10 dinner Saturday 16/10 lunch Saturday dinner
		Sunday 17/10 dinner Monday 18/10 lunch Monday dinner
		Tuesday 19/10 lunch Tuesday dinner Wednesday 20/10 lunch Wednesday dinner

	Any comments, questions or special requirements