Name  

Email  

Phone  (bh)     Phone (ah) 

Organisation  

Address  

  I would like to register to attend

  I will attend as a:        Parent, family, carer Advocacy group (paid worker) Service provider - paid worker Philanthropic and private sector Researcher Government officer

There is no cost for parents, families, carers.

Registration costs for organisations:

Advocacy groups (paid workers)  $99
Service providers (paid workers)    $154 
Philanthropic and private sector (paid)  $154
Researcher (paid)    $154  
Government officer (paid)    $220



Payment Options:
EFT
(Commonwealth Bank of Australia  Account name: Social Enterprise Partnerships Ltd
BSB: 062 218  Account number: 1007 2945)
Cheque
(payable to Social Enterprise Partnerships Ltd, mail to PO Box 159 Yarraville Vic 3013)



  I will pay by EFT
  I will forward a cheque by mail
  Please send a tax invoice for payment to Social Enterprise Partnerships Ltd.