First Name:
Last Name:
Business or Organisation
Address:
Phone Number:
Email Address:
Select Gina Seminar:
Feb 8 Atlantis Corp Sydney
February 9 UNSW Sydney
February 11 Rydges Canberra
February 12 Baywiew Melbourne
February 15 Grand Chifley Adelaide
February 19 UWA Perth
Names of Attendees:
Total Number of Attendees:
Payment Type:
EFT Payment
Paying at Venue
Lead Source:
Fill this Form or
download
it and email to
wilson.geoff@optusnet.com.au
Please pay the $100 registration fee through
EFT Payment
- direct to Green Infrastructure Network Australia (Westpac Corporation, Garden City Branch, Shop 1021, Westfield Shopping Centre, Logan Road, Upper Mt Gravatt 4121, BSB 034-047 Account number: 12-7602.
please email payment advice
to
wilson.geoff@optusnet.com.au
OR
. if your booking is confirmed by email, provide the completed form plus payment (Cash or cheque) during registration at the chosen venue.