The Women's Breakfast
Registration Form ....
Please foward completed registration form with Cheque to :-

The Women's Breakfast Connection.
PO BOX 269
Avalon NSW 2107
(Cheques payable to The Women's Breakfast Connection)

Please reserve _______ place(s) for me.   Amount enclosed ______

YOUR NAME_________________________________________________________

YOUR ADDRESS_____________________________________________________

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PHONE NUMBER ________________________ MOBILE ____________________

EMAIL ___________________________________


Guest 1 ___________________________________________

Guest 2____________________________________________

Guest 3____________________________________________

If you would like to be seated with people who booked separately please note thier names in the space provided.
We will do our best to accommodate you. 

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How did you hear about the Women's Breakfast Connection ?(please tick )

• I've been to previous breakfasts ____.
• Through a friend.____
• I saw the Brochure.____
• Through my church____
• By searching the web____
• From my health practitioner.____

  In case of cancellation, money will be refunded in full provided notification is given up to one week prior to the breakfast.