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28-30th July Brisbane Convention Centre WORKSHOP REGISTRATION FORM
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If you wish to register for either or both of the Pre-Conference Workshops please PRINT this form, complete details and send with payment to:
CMG Australia,
PO Box 516, TURRAMURRA, NSW 2074, Australia.
Delegate Information
Please Tick Mr Mrs Miss Ms Dr
Surname
Given Name
Position/Title
Company
Postal Address
State ..Postcode
Country
Telephone ..Fax
E- mail
Preferred Name for Badge
Please indicate seminar choice(s) by ticking appropriate
box(es)
Steve Samson Workshop
Monday 27th July 9.30am - 12.30pm
(includes morning tea) cost $245
Tom Beretvas
Monday 27th July 1.30pm - 4.30pm
(includes afternoon tea) cost $245
Both workshops cost $440
Total Payment Enclosed $_____
How to Pay
By cheque in AUD, payable to CMGA'98 Conference
Card Number
By Credit Card - please tick choice
Bankcard Mastercard Visa American Express
Expiry date
Name of Cardholder
Signature of Cardholder
PLEASE PRINT AND RETURN THIS FORM WITH PAYMENT TO:
CMGA'98 Conference,
PO Box 516,
TURRAMURRA, NSW 2074
Australia.
REGISTRATION ENQUIRIES
Telephone +61 2 9983 0122 Fax +61 2 9488 7496
© 1998 CMGA Australia
Page created by APMS webmaster@apms.com.au
(last modified: 18 May 1998)