Please complete the following to secure your partnership package

Thank you for partnering with us at Leading change together, the QCOSS State Conference 2019.

On receipt of this form you will be sent a Tax Invoice.

If you have any questions, please contact Marie Noy on (07) 3004 6900 or marien@qcoss.org.au
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* 1. ORGANISATION DETAILS

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* 2. CONTACT DETAILS

All correspondence regarding this partnership agreement will be forwarded to this person.

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* 3. PLEASE SELECT THE PACKAGE OF YOUR CHOICE

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* 4. TOTAL PARTNERSHIP AMOUNT $

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* 5. I understand and accept the terms and conditions that appear on the conference website.

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