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REGISTRATION
1 Day Nonprofit Masterclass in
Advanced Strategy, Risk & Governance
DATE:
TIME:
VENUE:
COST:
RSVP:
Monday 24 November 2014 (one full day)
Registration from 8.00am / Start 8.30am / Finish 5.00pm (approx.)
Capricornia Training Company, 38 Armstrong Street, North Rockhampton
$550 per person or $475 per person (incl GST) for 2 or more from same organisation
By Wednesday 12 November 2014
Complete the registration details below and email to: [email protected]
FULL NAME
POSITION
(IF RELEVANT)
ORGANISATION
(IF RELEVANT)
EMAIL ADDRESS
SPECIAL DIETARY
NEEDS
PHONE
Cancellation Policy: A 10% administration fee will apply between 12 November and 24 November 2014, thereafter no refunds can
be given. Substitutions are acceptable – please advise their name/s beforehand.
The total price includes GST. Please retain a copy for your records.
This form becomes a Tax Invoice upon receipt of payment.
 Tick to have receipt emailed to you.
Fees:
 $550 pp
Method of Payment:
 Credit Card
Credit Card Authorisation:
____/_____
 $475 pp for ________ people from same organisation
 Direct Debit
Please charge my:
The sum of: $ ______________
Expiry:
or
Card number:
 MasterCard
 Visa
_______/_______/_______/______
Cardholder Name: ____________________________
Signature: __________________________________________________________________
Direct Debit:
ABN:
Bank Name:
BSB:
Account Number:
Reference:
Capricornia Training Company Ltd
13 419 019 806
National Australia Bank
084-901
873417876
Registrant’s 1st & 2nd initials & surname (e.g. AB Patterson)