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Member Details Form
Registration
for:
@@@GLOBALS_eventName@@@ - @@@GLOBALS_venueState@@@
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| *Company |
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| *Address 1 |
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| Address 2 |
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| *Suburb |
@@@IF_INCLUDE_showState_1_pay_if_no_show_state.htm@@@
@@@IF_INCLUDE_notShowState_1_pay_if_no_show_state_hidden.htm@@@
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| Member / Guest
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@@@WHILEARR_arrConsultants_INCLUDE_rsvp_row.htm@@@
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Credit
card details:
(your card will only be charged if you don't attend this function) |
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Total amount to be debited per person:
@@@GLOBALS_eventValue@@@ |
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*Card type |
Bankcard
Mastercard
Visa
Amex |
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*Card No. |
*Expiry date
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| *Name
on card |
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@@@ERRARR_errRegistration_
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_
@@@
Please note a cancellation fee of $25.00 per person
applies to any late cancellations made with 96 hours of the event or if
you NO SHOW at the event. Thank you.
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| ©2010 TIFS Warehousing and Distribution |