127th IPWEAQ NORTH QUEENSLAND CONFERENCE
127th IPWEAQ NORTH QUEENSLAND CONFERENCE SPONSOR/EXHIBITOR REGISTRATION Tax Invoice ABN: 45 425 085 688 To assist in organising the Conference please complete and return this form along with your sponsorship payment to: IPWEAQ Conference Coordinator, Cook Shire Council, PO Box 3, Cooktown QLD 4895 or fax to th (07) 4069 5423 or email to [email protected] by Friday 11 March, 2013 to ensure that logos and promotional materials can be finalised. Delegate Name: (to be used on badge): …………………………………………… .................. ……………………… 2nd Delegate Name: (to be used on badge): …………………………………………… ........... ……………………… Organisation: ..................................................................... ……….……………………………………………………… Address: ………………………………………………………………….................................……………………………. Suburb/City: …………………………………………………………… .................................……………………………. Telephone: …………………Facsimile: ………………….Email: …… ....................................................................... Accompanying Persons: ………………………………………………………… ............................. …………………….
Attendance Details: To assist with conference planning, please indicate your planned attendance by placing a tick in the appropriate places. Delegate
2nd Delegate Accompanying/Extra Person(s) (please provide number attending)
Welcome Function Conference Lunch Conference Dinner Golf & Farewell Lunch SPONSORSHIP PACKAGES Gold Sponsorship Principal Sponsor
……….. ……….. ……….. ………..
……….. ……….. ……….. ………..
Silver Sponsorship Major Sponsor
……….. ……….. (+$30pp) ……….. (+$60pp) ……….. (+$30pp)
Bronze Sponsorship Contributing Sponsor
Co-sponsorship of Conference Dinner Co-sponsorship of Welcome Function Opportunity to address Conference Dinner Trade Display Opportunity Four (4) tickets to Conference Dinner Acknowledgement on conference material Opportunity to include information with Conference satchels.
Co-sponsorship of one of the conference lunches Trade Display Opportunity Two (2) tickets to Conference Dinner Acknowledgement on conference material Opportunity to include information with Conference satchels.
Co-sponsorship of Conference Morning/Afternoon Tea One (1) ticket to dinner Acknowledgement on conference material.
$2200
$1500
$750
Minimum sponsorship +10%g.s.t.
Minimum sponsorship + 10% g.s.t.
Minimum sponsorship + 10% g.s.t. Ref: IPWEAQ2013SPOpg1
Sponsorship - Method of Payment On behalf of the IPWEAQ and Cook Shire Council, thankyou for your sponsorship support. Payment can be made by direct deposit, cheque or credit card. Payment must accompany the completed registration form. Emailed or Faxed registration forms are accepted only if payment is made by credit card. Registration forms can be faxed to (07) 4069 5423, emailed to [email protected] or mailed to Attn: IPWEAQ th Conference Coordinator, Cook Shire Council, PO Box 3, Cooktown QLD 4895 by Monday 15 April. Please note, registration of sponsorship can only be accepted if accompanied by full payment.
Total Payable: $____________________ Payment Option 1—Cheque payable to: Cook Shire Council Payment Option 2—Charge my Credit Card: Amount to be debited: $............................................ Credit Card Details. Name on Card_____________________________________________ Credit Card Number: Expiry: m
m / y
y
CV Number
I authorize Cook Shire Council to debit my credit card for the amount indicated above. Signature________________________ Date____________________
Payment Option 3—Electronic Funds Transfer Direct Deposit details as follows:-
BSB No: 034 174 Account No: 000006 Reference to be used: 1200.130.283 and your name
Providing Your Promotional Material Your logos can be forwarded to [email protected] in almost any format. Vector images will give the best results but we can also use jpg, png, pdf, gif, bmp, ai, eps, letterhead or any other format you have on hand. Hardcopy and/or other promotional materials can be sent to Att: Dan Hodgson, Engineering Project Manager. Cook Shire Council. PO Box 3, Cooktown, QLD 4895. We will endeavour to provide your organisation with as much exposure as possible and reproduce your logos with every possible accuracy in all regards.
Ref: IPWEAQ2013SPOpg2
Attendance Details: To assist with conference planning, please indicate your planned attendance by placing a tick in the appropriate places. Delegate
2nd Delegate Accompanying/Extra Person(s) (please provide number attending)
Welcome Function Conference Lunch Conference Dinner Golf & Farewell Lunch SPONSORSHIP PACKAGES Gold Sponsorship Principal Sponsor
……….. ……….. ……….. ………..
……….. ……….. ……….. ………..
Silver Sponsorship Major Sponsor
……….. ……….. (+$30pp) ……….. (+$60pp) ……….. (+$30pp)
Bronze Sponsorship Contributing Sponsor
Co-sponsorship of Conference Dinner Co-sponsorship of Welcome Function Opportunity to address Conference Dinner Trade Display Opportunity Four (4) tickets to Conference Dinner Acknowledgement on conference material Opportunity to include information with Conference satchels.
Co-sponsorship of one of the conference lunches Trade Display Opportunity Two (2) tickets to Conference Dinner Acknowledgement on conference material Opportunity to include information with Conference satchels.
Co-sponsorship of Conference Morning/Afternoon Tea One (1) ticket to dinner Acknowledgement on conference material.
$2200
$1500
$750
Minimum sponsorship +10%g.s.t.
Minimum sponsorship + 10% g.s.t.
Minimum sponsorship + 10% g.s.t. Ref: IPWEAQ2013SPOpg1
Sponsorship - Method of Payment On behalf of the IPWEAQ and Cook Shire Council, thankyou for your sponsorship support. Payment can be made by direct deposit, cheque or credit card. Payment must accompany the completed registration form. Emailed or Faxed registration forms are accepted only if payment is made by credit card. Registration forms can be faxed to (07) 4069 5423, emailed to [email protected] or mailed to Attn: IPWEAQ th Conference Coordinator, Cook Shire Council, PO Box 3, Cooktown QLD 4895 by Monday 15 April. Please note, registration of sponsorship can only be accepted if accompanied by full payment.
Total Payable: $____________________ Payment Option 1—Cheque payable to: Cook Shire Council Payment Option 2—Charge my Credit Card: Amount to be debited: $............................................ Credit Card Details. Name on Card_____________________________________________ Credit Card Number: Expiry: m
m / y
y
CV Number
I authorize Cook Shire Council to debit my credit card for the amount indicated above. Signature________________________ Date____________________
Payment Option 3—Electronic Funds Transfer Direct Deposit details as follows:-
BSB No: 034 174 Account No: 000006 Reference to be used: 1200.130.283 and your name
Providing Your Promotional Material Your logos can be forwarded to [email protected] in almost any format. Vector images will give the best results but we can also use jpg, png, pdf, gif, bmp, ai, eps, letterhead or any other format you have on hand. Hardcopy and/or other promotional materials can be sent to Att: Dan Hodgson, Engineering Project Manager. Cook Shire Council. PO Box 3, Cooktown, QLD 4895. We will endeavour to provide your organisation with as much exposure as possible and reproduce your logos with every possible accuracy in all regards.
Ref: IPWEAQ2013SPOpg2
