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Registration Form

Thursday, 6 September 2012 - Esplanade Hotel, Fremantle

Title (Prof/Dr/Mr/Mrs/Ms):*
Surname:*
Firstname:*
Preferred Name on Badge:*
Organisation:*
Address:*
Post Code:*
Telephone:*
Email Address:*
Please Register:* $110.00 each

Fee includes lunch, morning and afternoon tea, and sundowner.
Bookings close Friday, 31 August 2012 and payment must be received by this date.

Your name will be added to our email list,
if you do not wish information updates, please tick:

If you would prefer to pay by cheque, direct deposit or your credit card processed manually,
please select Next and then the Submit and Pay Offline option.  A tax invoice will be emailed to you.

  

* indicates required field
All costs are in Australian Dollar (AUD) and are inclusive of GST
 
No tickets will be issued for this event.

You will receive a confirmation of your booking via email.

You will receive a tax invoice.

Please be aware that payments are processed by Stars Event Management.   

CANCELLATION POLICY:  DMP is pleased to provide full refunds for cancellations
advised within 5 days of the event.  Cancellations after 5 days but before 2 days will
receive 50% of the total amount.  There will be no refunds for cancellations within 2
days of the event.  You may substitute a colleague at any time if you are unable to attend.