Payment Form

Please email or fax completed form to the Talent2 User Group Secretariat on +61 7 3378 9513

Event Name:

Attendee Name:

Organisation:

Organisation Address:

Email:

Phone Number:

Notes or Comment (if registering / paying for more
than one attendee list names here, identifying
member / non member):

Payment Cost

ALL PRICES INCLUDE GST
Please select the appropriate fee type:

Non Members
(per delegate)

T2UG Members
(per delegate)
Booked and Paid for by 12 February 2010    
Single Early Bird

$955

$655
Volume discount for two or more attendees from a single organisation

$900

$600
Booked and Paid after 12 February 2010    
Full Price

$1010

$710
Volume discount for two or more attendees from a single organisation

$955

$655
 
 
Single Day Rate (includes morning/afternoon tea and lunch)

$500

$375
         
Social Events (extra charge for Partners only)         
Welcoming Function $70    
Conference Dinner $100    
         
         

Payment Type

EFT (details listed below)
Cheque (payable to Talent2 User Group Inc)

(If no payment type is identified Talent2 User Group will invoice the attendee organisations above)

EFT Details
Bank Name: Bank of Queensland, Kenmore
Account Name: Talent2 User Group Inc
BSB No: 124 103
Account No: 20415462

Credit Card Details
Payment authorisation for Talent2 User Group to charge the following card:

Payment Amount:
Card Type:
   
Name on Card:
Card Number:
Expiry Date:

Signed:

 

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