OSHCsa Conference Nov 2011

Participant Details

Please complete one registration form per participant.
A tax invoice/receipt will be sent via email for each participant.
You may pay for multiple registrations with one payment by adding invoices together and quoting the all the invoice numbers.

*
1. Name of participant

Name of participant

*
2. OSHC Service/Organisation

OSHC Service/Organisation

*
3. Is your OSHC service an OSHCsa member?

Is your OSHC service an OSHCsa member? Yes

Don't Know

*
4. OSHC/ Organisation Street Name/ Number

OSHC/ Organisation Street Name/ Number

*
5. Suburb

Suburb

*
6. State

State

*
7. Post Code

Post Code

*
8. Phone

Phone

*
9. Email (please double check your email details are correct as we will use email to confirm, invoice and contact you)

Email (please double check your email details are correct as we will use email to confirm, invoice and contact you)

10. Special dietary requirements, please list.

Special dietary requirements, please list.

OSHCsa Conference Nov 2011

Participant Details

*1. Name of participant

*2. OSHC Service/Organisation

*3. Is your OSHC service an OSHCsa member?

*4. OSHC/ Organisation Street Name/ Number

*5. Suburb

*6. State

*7. Post Code

*8. Phone

*9. Email (please double check your email details are correct as we will use email to confirm, invoice and contact you)