| Company Name |
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| Delegate Name |
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| Delegate Position |
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| Delegate Phone Number |
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| Delegate Email Address |
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| Billing Company/Contact |
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| Billing Address |
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| Country |
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| Region/State |
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| Postcode |
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Billing Contact Name
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Same as Delegate Name
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| Billing Contact Phone |
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| Billing Contact Email |
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| Registration Rate |
Early Bird: $A950.00 (inc GST)
Normal: $A1,050.00 (inc GST) |
Payment methods
Please check one |
Cheque
Payable to Paydirt Media Pty Ltd and marked "not negotiable"
Credit Card
Please note that a merchant fee of 3.8% applies to payments made on Amex and Diners cards.
Please call (+61 8) 9321 0355 to pay by credit card over the phone or
complete this form and fax back with your credit card details.
Bank Transfer/EFT
(please quote invoice number or company name)
PAYDIRT MEDIA PTY LTD Bank: ANZ Bank, West Perth Account: 837162319 BSB: 016-498
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| For enquiries please contact |
Brooke Boardman, P.O.Box 1589, West Perth, Western Australia 6872
Tel: (+61 8) 9321 0355
Fax: (+61 8) 9321 0426
Email: brooke@paydirt.com.au |
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Early bird rate $950.00 (including GST) for registration and payment received by 12 March 2009
Full delegate registration $A1,050.00 for registration and/ or payment received after 12 March 2009
• To take advantage of our early bird rate of $A950.00 (including GST), please register and pay by 12 March 2009. If full early bird payment is not received by that date, the rate will automatically revert to our normal delegate rate of $A1,050 (including GST).
• Normal delegate registration payment is due and payable on 9 April 2009, with registration received after this date becoming due and payable immediately. No refunds/credits will be given for cancellation made after this date. Replacement/substitute delegate(s) may however be nominated.
• Cancellation/ substitution requests must be submitted in writing to the conference coordinator prior to the conference. Cancellation/ substitution requests received during/after the conference will not be processed.
• Please note that unpaid registration may be refused admittance to the conference.
• As the event is held and hence deemed to be enjoyed in Australia, delegate fees are subject to the Goods and Services Tax (GST).
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Two full days at the conference
