Dinner 2013 registration form

Page 1

Shadow Minister for Industry Ms Sophie Mirabella Industry Capability Network Mr. Derek Lark addresses

Plastics Industry Thursday July 18, 2013 6.30pm for 7.00pm Kooyong Room Kooyong Lawn Tennis Club 489 Glenferrie Rd., Kooyong Victoria 3144 Registration Form Company:

Email: Name/s: 1/ 2/ 3/ 4/ Dietary Requirements: Number attending

@ $130.00 person (Plus GST)

Total Payment: $ Electronic Funds Transfer: ( ) Email registration form to: info@plastixanz.com.au

Cheque: ( ) " Attach cheque & mail to:" "

"

PlastixANZ" " P.O Box 254 "" Hallam 3803

" "

" "

" "

EFT funds to: National Australia Bank Grange Products Pty. Ltd. BSB: 083 125 Account: 490 130 042

PayPal: ( ) Email registration form to: info@plastixanz.com.au PayPal Buy Now button at bottom of registration & information page on website - click here Tax invoice will be forwarded on receipt of payment Cancellations cannot be accepted less than 7 Days prior to start of series


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.