Localism:
A Policy and Enterprise Conference


Monday 24 and Tuesday 25 March 2014

Registration and Payment Form 


CLICK HERE for further information about this event.

Please provide the following contact information

Name
Organisation
Tel
Email
 Address
Address 
State
Postcode
Country

Please describe your current role and your interest in this event:


TYPE OF REGISTRATION 

Fee (includes GST)*

Individuals, users of services (self-funded) $99
Groups (self-help, advocacy, community) $253
Service providers, practitioners $440
Academics, researchers $440
Commercial (trainer, consultant, planner) $440
Government $660

 *The fee for one day's attendance is 75% of the applicable two day rate.

I will be attending as a

         
 

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.

 
 


Terms and Conditions
1. Registration fees must be paid in full before the date of the event.
2. Cancellations must be notified in writing by 14 March 2014. For cancellations received after 14 March, full fees will apply.
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.)

Social Enterprise Partnerships Ltd
ABN 47108742098
PO Box 159
Yarraville Vic 3013