Registration (November: Saturday 13/Sunday 14, 2021)

  • Billing Details
  • Attendee Details
  • Payment

Attendee 1 Details


$

Attendee 2 Details


$

Attendee 3 Details


$

Attendee 4 Details


$

Attendee 5 Details


$

Summary and Payment

Thank you for supplying the required details for your registration. Please check the details displayed.

 


Bill to:



Attendee 1:

Attendee 2:

Attendee 3:

Attendee 4:

Attendee 5:

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To pay by EFT (Direct Deposit) please use the following details:

Bank: Bendigo Bank Limited
BSB: 633-000
Account Number: 132 079 997

Payment Reference:

Amount:

(You will also receive a copy of these details via e-mail)

To pay by cheque please use the following details:

Make cheques payable to: Agpath Pty Ltd

Amount:

On the back of the cheque please write the reference:

(You will also receive a copy of these details via e-mail)