Summer Conference 2019
 

Fixing Australian Politics
What do we need to do?

Wednesday 23 January 2019
   

Registration and Payment Form 
 


Please provide the following contact information

Name
Organisation
Work Phone
Email
 Address
Address 
State
Postcode

Please describe your interest in this event:



 

TYPE OF REGISTRATION 

Fee (includes GST)*


Members of Fix Our Politics
**

** You may
join Fix Our Politics for no cost in 2018 here.

$22

Non-members
 

$55

Academics, researchers
 

$99

*The fee covers the one day conference, including preliminary reading materials, and tea and coffee. It does not include lunch, which may be brought or purchased close by.

I will be attending as a

         


  Total amount payable  
 

Payment Options

Please reserve my place and
            
 
I will send my cheque/money order to  Social Enterprise Partnerships
PO Box 159
Yarraville VIC 3013
(Cheque payable to Social Enterprise Partnerships)
OR  
I will pay by EFT transaction:

 

 

Bank: Commonwealth Bank of Australia
Account name: Social Enterprise Partnerships Ltd
BSB: 062 218
Account number: 1007 2945
Please send a tax invoice.

I have read, and accept the terms and conditions described below.

 

[Note: When you click Submit Form you may receive an error message.
If this is the case, please ignore it, your form will be received.]


Terms and Conditions
1. Registration fees must be paid in full before 18 January 2019.
2. Cancellations must be notified in writing by 18 January 2019.
3. Transfer of registration is permitted where necessary, to enable another person from the same organisation to attend the event in place of the person whose name is shown on the registration form. (Should you wish to take up this option, please advise  on the change of name and contact details before the date of the event.)
4. Civil Society Australia reserves to right to accept or reject participants in this event/process as it sees fit.

Civil Society Australia
Auspiced by Social Enterprise Partnerships Ltd

ABN 47108742098
PO Box 159
Yarraville Vic 3013