2018/2019 National Benchmarking Registration Form Please complete this form by 11 November 2019, if you wish to: Participate in the 2018/2019 Benchmarking Program (mini program) Participate in the 2018/2019 Benchmarking Program (full program) Not participate in the 2018/2019 Benchmarking Program, but receive a copy of the Mini Report OK Question Title * 1. Please provide your contact information. Name Council City/Town Email Address OK Question Title * 2. Purchase Order Number OK Question Title * 3. Please indicate your level of participation. Participant: Mini Program $380+GST Participant: Full Program $1450+GST Non Participant Member: Order the Mini Report $400+ GST Non Participant Non-Member: Order the Mini Report $1200+ GST OK DONE