Innovation Series

Innovation series

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- Contact Update

Innovation Series QLD - 19th July 2010 - Eco-innovations: sustaining industry and the environment. An event of Enable 2010

Registration

To register your attendance please download the PDF form below or complete the online registration form. Alternatively contact:
Project Executive
Ph: 1300 368 379 Fax: +61 7 3147 8001
E: info@innovationseries.com.au

To register please enter your information in the form below.
Title*	:
Full Name*	:
Position*	:
Name of Company / Organisation*	:
Phone Number*	:
Email*	:

Postal Address*

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Total Number of Attendees*

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Special Request

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Please tick your preferred payment method

:

	Cheque
	Electronic Funds Transfer (EFT)
	Credit Card Payment - (Cards Accepted - Mastercard / Visa / Bankcard)

GUESTS
Please provide the details of your guests.

Guest #1

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Guest #10

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Payment Method

1. Cheque:
Please make cheques payable to:
Zernike Australia P/L Brisbane Enterprises

2. Electronic Funds Transfer (EFT):
Zernike Australia P/L Brisbane Enterprises A/c
Westpac Bank
BSB: 034-093
A/C: 312905
Please ensure your name is in the EFT banking details.

3. Credit Card Payment:
Please call Sophie Kapeleries on 1300 368 379 to pay your invoice using credit card
Cards Accepted - Mastercard / Visa / Bankcard

Please note that payments by credit card will incur a fee of 0.900% (incl GST) of the total amount payable, which reflects a merchant fees charged to Zernike Australia Pty Ltd.

Innovation Series (Qld) Event Costs:

Single Ticket: $115.00 incl. GST
Corporate table of 10: $1150.00 incl. GST

Early Bird: $110.00 incl GST ( until 25 October 2010)

Postal Address:
PO Box 4037
Eight Mile Plains QLD 4113