water supply & sewerage condition assessment workshop
WATER SUPPLY & SEWERAGE CONDITION ASSESSMENT WORKSHOP Register Online: www.www.ipwea.org/WSS2015
REGISTRATION FORM Date
Location Venue / Address
Thu 07 May
QLD Brisbane
North Lakes Resort Golf Club 1 Bridgeport Drive North Lakes QLD 4509
Tue 12 May
NSW Dubbo
Cattleman's Country Motor Inn 8 Whylandra Street Dubbo NSW 2830
Wed 13 May
NSW Sydney
Holroyd Centre 17 Miller Street, Merrylands, NSW 2160
Location:
Date:
ORGANISATION DETAILS Organisation Postal Address Contact Person Position
REGISTRATION & PAYMENT
Phone
Please use one of the following options
Email
1. Online- Preferred method of registration Register online and pay using a credit card (visa or Mastercard) or use a purchase order at: www.www.ipwea.org/WSS2015
2. Email or Fax Registration Form paying by
Participant 1 Position 1 Email 1
Credit Card Credit Card: [ ] Mastercard
PARTICIPANT DETAILS
[ ] Visa
Participant 2
Credit Card Number:
Position 2
_______ /________ /________ /________
Email 2
Expiry Date: ___________ /____________ Name on Card: _____
___
Signature:
___
3. Email or Fax Registration Form Please complete registration form to IPWEA on (02) 8267 3003 or email [email protected] [ ] Please send invoice Purchase Order No
For more participants use another form. Please advise of any special dietary requirements
FEES PAYABLE Please complete payment method (see left) and fax form to IPWEA Workshop:
$660 (inc GST)
x
= $
Practice Note 7: $264 (inc GST and P&H) per copy x
= $
___
Total Amount Payable (inc GST)
$
4. Mail Registration Form with Cheque [ ] Cheque enclosed Mail to: IPWEA Ltd, Level 12, 447 Kent St, Sydney, NSW, 2000
Cancellation Policy: Substitution of participant advice must be received 3 days prior to workshop. Cancellations received less that 1 week prior to workshop will be required to pay full cost. IPWEA reserves the right to defer, amend or cancel workshops.
REGISTRATION FORM Date
Location Venue / Address
Thu 07 May
QLD Brisbane
North Lakes Resort Golf Club 1 Bridgeport Drive North Lakes QLD 4509
Tue 12 May
NSW Dubbo
Cattleman's Country Motor Inn 8 Whylandra Street Dubbo NSW 2830
Wed 13 May
NSW Sydney
Holroyd Centre 17 Miller Street, Merrylands, NSW 2160
Location:
Date:
ORGANISATION DETAILS Organisation Postal Address Contact Person Position
REGISTRATION & PAYMENT
Phone
Please use one of the following options
1. Online- Preferred method of registration Register online and pay using a credit card (visa or Mastercard) or use a purchase order at: www.www.ipwea.org/WSS2015
2. Email or Fax Registration Form paying by
Participant 1 Position 1 Email 1
Credit Card Credit Card: [ ] Mastercard
PARTICIPANT DETAILS
[ ] Visa
Participant 2
Credit Card Number:
Position 2
_______ /________ /________ /________
Email 2
Expiry Date: ___________ /____________ Name on Card: _____
___
Signature:
___
3. Email or Fax Registration Form Please complete registration form to IPWEA on (02) 8267 3003 or email [email protected] [ ] Please send invoice Purchase Order No
For more participants use another form. Please advise of any special dietary requirements
FEES PAYABLE Please complete payment method (see left) and fax form to IPWEA Workshop:
$660 (inc GST)
x
= $
Practice Note 7: $264 (inc GST and P&H) per copy x
= $
___
Total Amount Payable (inc GST)
$
4. Mail Registration Form with Cheque [ ] Cheque enclosed Mail to: IPWEA Ltd, Level 12, 447 Kent St, Sydney, NSW, 2000
Cancellation Policy: Substitution of participant advice must be received 3 days prior to workshop. Cancellations received less that 1 week prior to workshop will be required to pay full cost. IPWEA reserves the right to defer, amend or cancel workshops.
