21st FIJI AUSTRALIA BUSINESS FORUM 2014 Grand Pacific Hotel, Suva “Fiji - Australia, Proud History, Promising Horizons” 30th October – 1st November, 2014 REGISTRATION FORM Please complete and return a separate form for each member delegate to the FABC Secretariat together with fees. Delegate Name: _________________________________________________________ Accompanying Partner: _________________________________________________________ Organization: _________________________________________________________ Postal Address: _________________________________________________________ Telephone: _____________ Fax: ______________ Email: ________________________________ REGISTRATION FEES FABC/AFBC Member F$ 650 [VIP] Non-Member F$900 [VIP] Accompanying Partner F$ 275 [VIP] Day Registration F$500 (VIP) Dinner 1 night only F$125.00 (VIP) TOTAL REGISTRATION FEES ENCLOSED $__________ $___________ $___________ $__________ $___________ F$__________ Payment Details: a) Payment must be made in Fijian dollars only. b) Cheque must be made payable to the Fiji Australia Business Council and forwarded to FABC, P O Box 2600, Government Buildings, Suva, Fiji Islands or hand delivered to Fiji Australia Business Council Secretariat, Suva Business Centre, 217 Victoria Parade, Suva. c) Credit Card payment details are required as below and can be faxed to +679 3100075 or emailed [via a couple of emails separating number] to [email protected]. Please add F$25 for payment by VISA/MasterCard/ Diners/ American Express. d) Direct Deposit to Fiji Australia Business Council, Westpac Bank, Account # 21627200, Suva, Fiji (please include your name in the narration) Credit Card Details: Type: Visa MasterCard American Express Diners Credit Card Number: ____________________________________ Amount: F$____________ Name on Card: ____________________________________ Expiry Date: ______________ Authorized Signature: _________________________________ CANCELLATION POLICY: A cancellation received prior to 22 October will be refunded 50% of the total fees paid. Cancellations received after22nd October will not be refunded. PLEASE NOTE: REGISTRATIONS WILL ONLY BE ACCEPTED ON THIS FORM THIS PAGE INTENTIONALLY LEFT BLANK. “Fiji- Australia, Proud History, Promising Horizons” Ni Sa Bula, We are pleased to confirm that Grand Pacific Hotel has been selected as the venue for the Joint Forums for Fiji Australia Business Council and Australia Fiji Business Council. Below are the accommodation options available, a best available group rate has been negotiated for participants and details are as follows:Room Types Deluxe plus buffet breakfast for 2 Superior plus buffet breakfast for 2 Premier plus buffet breakfast for 2 Royal Club Rooms plus buffet breakfast for 2 * Rates Per Room Per night FJD FJD 390 FJD 410 FJD 440 FJD 500 Bookings must be received before Tuesday, 21 October 2014 - thereafter all accommodation space will be based on availability at the time of receiving your accommodation payment & registration form. Booking Name: _________________________________________________________________ Telephone Number: _______________________Mobile Number: _______________________ Email Address: ______________________________________________________________ Check-in Date: _________________________________________________ Check-out Date: ______________________________________________________________ # of rooms: _______________________# of nights: _______________________ Individual Reservations All reservations for which the individual guest is responsible for the payment of their accommodation charges, a full payment of their accommodation by bank deposit or credit card is required upon booking. Cancellation Policy Within 7 days Thursday 23 October 2014: th Within 4 days Sunday 26 October 2014: One night’s room rate will be forfeited. Full accommodation charges will be forfeited. Payment Details: Should you wish to pay your Deposit by credit card, please complete the following details and sign. Credit Card Type: Visa / American Express / MasterCard / Diners / Other (please circle) Credit Card Number: ___________________________________________Expiry: ___________ Cardholder Name: ______________________________________________________________ Amount: ___________________ Signature: _____________________________________ Date: __________________________ I hereby authorise Grand Pacific Hotel to debit my credit card for the above amount in relation to the services outlined. _____________________________________________________________________________ Should you wish to pay your Deposit directly into our bank account. Please make payment to the below bank details and email transaction slip along with Accommodation Booking form to email: [email protected] ACCOUNT NAME BANK ACCOUNT NUMBER SWIFT CODE BSB Grand Pacific Hotel Ltd Bank of South Pacific 5006701 BOSPFJFJ 069003 We look forward to welcoming you to the Grand Pacific Hotel, please do not hesitate to contact me for any further information required. Vinaka, Ms Loreen Acraman Sales & Marketing Officer Mobile: +679 922 6187 Email: [email protected] NB. Please mark Joint FABC/AFBC Forum while making your booking.
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