REGISTRATION FORM
Inverell Forum 2009 March 20-23
BOOKINGS ARE ESSENTIAL
Please print out this form, complete with your details and
post with payment (Chq / MO)
Payment To: Inverell Forum Inc.
Post to: Inverell Forum Inc., PO Box 987, Inverell NSW 2360
PLEASE PRINT
First Name/s:......................................../......................................./..........................................
Surname/s: ........................................../......................................./............................................
Address: .....................................................................State:............Code:................
Phone:.............................................. Fax:............................................
Email:........................................................................................................................
| No. |
Pre booking and payment essential- LIMIT OF 200 |
| . | |
| . | Number attending for two days Saturday & Sunday, including Friday Sessions - Cost $40.00 |
| . | Number attending Saturday only or part thereof - Cost $20.00 |
| . | Number attending Sunday only or part thereof - Cost $20.00 |
| . | Number attending Saturday night dinner - Cost
$28.00 (must be paid for by Monday 16 March) (under 12 years - discount rates - please inquire) |
| . | Number attending Monday's Social Day- Cost - Donation on the day Info. needed for catering purposes |
| Total payment Chq / MO. Payment to Inverell Forum Inc. $ |