Internet Seminar Registration Form

Please print and post with your payment

Complete the registration form, and include it with your Seminar registration payment [cheque, BC voucher]. If you've paid online you'll still need to fill out the form and post it.  Include the last four digits of your CC on the form.  

Important: Write your email address clearly.  It is needed to email your tickets  

All information marked with a * is a required field.

Name *
Company *
Address
Business Phone *
Email *
# of Attendees - Evening *
Indicate the number of people attending.  
All tickets will be emailed to the email address that you've given us (above).

Number of Attendees = 
# of Attendees *
'Previous Attendees'
Indicate the number of people attending.  
All tickets (including your free tickets) will be emailed to the email address you've given us (above).

Number of Previous Attendees  = 
$Amount attached * $                                    or... T$
Chq # or BC Voucher # * Cheque #:                        BC Voucher #:
Online Payment * Credit Card: [Last 4 digits] = 
Value Code GB#:
Post receipt? * Circle one:   YES              NO [I'll collect it at the venue]

 

Seminar Location And Session Times

Venue Business SA, 136 Greenhill Road, Unley 5061 
Date Monday, 12th May 2003 - 6.30pm - 9.30pm