Image courtesy of Aiden Horwood – Heading Out Salon HBIA AUSTRALIAN HAIRDRESSING CHAMPIONSHIPS ENTRY FORM 2015 Given Name: Miss / Mrs / Ms / Mr Surname: Home Address: Postcode: Salon Name: College Name: Address: Postcode: Telephone Work: ( ) Mobile: Home: ( ) Email: Image courtesy of Aiden Horwood – Heading Out Salon Name of competitor: EFT DETAILS: HBIA BSB NUMBER: 124 104 ACCOUNT NUMBER: 2068 9259 REF: YOUR COMPETITOR NAME Payment is by: please tick Cheque Credit Card Money Order EFT Please make cheque payable to the Hairdressing & Beauty Industry Association Credit Card Type Bankcard Mastercard Visa Amex Diners Credit Card No: Expiry date: Name on Card: Amount: $ Signature: Please return your Entry Form to: HBIA, Suite G02 / 22 St Kilda Road, ST KILDA VIC 3182 T 1800 237 934 | E [email protected] | www.hbia.com.au | www.facebook.com/yourHBIA
© Copyright 2024