International Womens Day Registration Form.pdf - Google Sites

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REGISTRATION FORM Exibit Exhibitions & Publishing Pty Ltd. ABN 25 089 992 110. Booking Contact. Name. Position. Orga
International Women's Day Presenting Partner

Celebrate International Women's Day on Friday 8th March 2013 Hyatt Hotel - 11.30 - 2.00pm

Major Partner

TAX INVOICE

REGISTRATION FORM Exibit Exhibitions & Publishing Pty Ltd. ABN 25 089 992 110 Booking Contact Name

Position

Organisation Postal Address

Phone

Tickets

Mobile

Email

Adults: $99 per person inc GST and gourmet lunchbox. Premium Reserved Row of 10: $920

Attendees Name

Position

Email

Company

V*

GF+

$ Amount

1 2 3 4 5 6 7 8 9 10 Total

* Vegetarian + Gluten Free

$

Bookings By Fax to: EveryWoman Business Events on 9476 9466 Payment Methods 1. Enclosed find my cheque / money order for: $_________________________

□ □ □ □ □□□□ □□□□ □□□□ □□□□

2. Please debit my: Visa Card

Card Number CCV Number

Card holder's name:

made payable to Exibit Exhbitions

MasterCard

AMEX

Diners

$

□□□□

Expiry date:

Card holder's signature:

Refunds cannot be issued unless 5 working days notice is given. Substitute delegates are welcome.

EveryWoman Business Events, PO Box 481 Northbridge WA 6865 General enquiries: 08 9476 9428, Fax: 08 9476 9466, Email: [email protected] Privacy statement: Personal information you provide will be retained by EveryWoman Business Events. EWBE will use the information to keep you informed about future events and news regarding the lunch series and development days. If you do not wish EWBE to retain information for this purpose please do not provide it. It will not be provided to any third party.

www.ewbe.com.au