22 - 23 November 2011

Pan Pacific Perth, WA

2011 Delegate Registration

Delegate registration rate of $A1,350 (inc GST)
Click here to download form.


Delegate Registration includes the following:
Two full days registration at the conference
Morning, afternoon tea and a buffet lunch
A delegate satchel
Welcome Reception held on 21 November 2011 in the exhibition area
Conference Dinner on 22 November 2011 in the Ballroom, Pan Pacific Perth (formerly Sheraton)
 Farewell Drinks on 23 November in Lobby Lounge, Pan Pacific Perth (formerly Sheraton)
A Copy of the Conference Proceedings


Delegate Registration Form

Company Name
Delegate Name
Delegate Position
Delegate Phone Number
Delegate Email Address
   
Billing Company/Contact
Billing Address
Country
Region/State
Postcode

Billing Contact Name
 Same as Delegate Name
Billing Contact Phone
Billing Contact Email
 
Welcome Reception I will be attending the Welcome Reception on Monday 21 November 2011
(The Cost of the Welcome Reception is included in the full delegate registration fee).

I will require additional ticket(s) for the Welcome Reception @ $A95 per ticket
Guest name(s)
 
Conference Dinner I will be attending the Conference Dinner on Tuesday 22 November 2011
(The Cost of the Conference Dinner is included in the full delegate registration fee).

I will require additional ticket(s) for the Conference Dinner @ $A195 per ticket
Guest name(s)
 
Conference Proceedings Additional copy of the Conference Proceedings
extra copies @ $A200 per copy
Registration Rate

Early bird rate: $A1,225 (available until Thursday 30 June, 2011)
Full delegate rate: $A1,350
Payment methods
Please check one

Cheque
Payable to Paydirt Media Pty Ltd and marked "not negotiable"

Credit Card
Please note that a merchant fee of 3.8% applies to payments made on Amex and Diners cards.

Bank Transfer/EFT
(please quote invoice number or company name)
PAYDIRT MEDIA PTY LTD Bank: ANZ Bank, West Perth Account: 8373 70951 BSB: 016-498

For enquiries please
contact

 Lisa Millman, P.O.Box 1589, West Perth, Western Australia 6872
Tel: (+61 8) 9321 0355
Fax: (+61 8) 9321 0426
Email: lisa.millman@paydirt.com.au