Conference Registration Form

PERSONAL INFORMATION *=required

Title

First Name

Last Name

Job Title

Name of Organisation

Address for Correspondence

City

State

Post Code

Email address

Daytime contact number (inc area code)

Name on Badge

*

Do you have any special needs (e.g. diet/access)?

Yes No

Please list

PAYMENT DETAILS

PAYMENT METHOD (please mark appropriate payment method)

CHEQUE PAYMENT

Cheques to be made payable to:
The Treasurer, CSMF, PO Box 2157, CANBERRA CITY   ACT   2601

DIRECT DEBIT

BSB: 112.879
Account Number: 054 958 142
Bank: St George, Canberra City

CREDIT CARD PAYMENT

Phone us on (02) 6252 6549 to make a payment over the phone.

CONFERENCE DETAILS

LOCATION:  DeVines Function Centre, Cnr. Northbourne Ave & Flemington Road, Canberra.
DATE:  Friday, 14 November 2008
TIME:  8.30am Registration.  
COST:  $120.00 (free to Financial Members)