AFCNA - Australian Faith Community Nurses Association

Speaker Booking Form

If you would like to book a speaker from AFCNA to come and share what this ministry can do for your faith community and/or how to get it started in your organisation/church, please submit the form below. We require at least 3 months notice to arrange speakers. Please contact Anne van Loon for short-notice bookings.

Your details:
First name:
Last name:
Street address:
Suburb:
City:
Postcode:
State:
Phone:
Fax:
Email Address:
Church / Organisation:

Venue details:
Date required:
Venue name:
Venue address:
Venue phone:
Type of audience and anticipated numbers: