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  • LiveWire Registration Form

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    livewirewollongong
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    This document is a registration form for a two-day leadership forum being held on September 22-23, 2010 at the Novotel Wollongong Northbeach. It provides details on the included events, registration fees of $297 including GST, and payment and contact information. Registrants are asked to indicate which included events they will attend and provide their personal and payment details to complete the registration. The registration and payment deadline is Friday, September 10, 2010.

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    This document is a registration form for a two-day leadership forum being held on September 22-23, 2010 at the Novotel Wollongong Northbeach. It provides details on the included events, registration fees of $297 including GST, and payment and contact information. Registrants are asked to indicate which included events they will attend and provide their personal and payment details to complete the registration. The registration and payment deadline is Friday, September 10, 2010.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    134 views1 page

    LiveWire Registration Form

    Uploaded by

    livewirewollongong
    This document is a registration form for a two-day leadership forum being held on September 22-23, 2010 at the Novotel Wollongong Northbeach. It provides details on the included events, registration fees of $297 including GST, and payment and contact information. Registrants are asked to indicate which included events they will attend and provide their personal and payment details to complete the registration. The registration and payment deadline is Friday, September 10, 2010.

    Copyright:

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    LEADERSHIP... are you up for the adventure?

    FORUM > 22-23 September 2010 > Novotel Wollongong Northbeach

    REGISTRATION FORM TAX INVOICE ABN 63 139 525 939

    Please complete a separate copy of this form for each delegate.


    Name

    Position

    Organisation

    Postal address

    Phone (day contact) Mobile

    Fax

    Email

    Special requirements (dietary, access)

    Registration fee includes all of the following >>


    Full two-day Forum >> 22-23 September 2010 @ Novotel Wollongong Northbeach
    Cocktail party >> Wednesday 22 September 2010 @ Novotel Wollongong Northbeach
    Cost >> $297 (including GST). No single day registrations are available.
    For catering purposes, please indicate which events you will be attending >>
    Two-day Forum Cocktail party

    General booking and payment deadline >> Friday 10 September 2010

    Registration payment advice >>


    Cheque/money order/requisition order attached >> (Payable to Wollongong City Council)
    Credit card payment Visacard Mastercard
    Credit card number

    Expiry date
    WCC©1236503.10

    Name on card

    Signature

    Please return a copy of your registration with payment to >>


    LIVEWIRE
    Wollongong City Council, Organisational Strategy and Improvement
    Mail Locked Bag 8821 Wollongong DC 2500
    Phone 4227 7305
    Fax 4227 7580
    Email livewire@wollongong.nsw.gov.au

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