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ELECTRICAL APPARATUS SERVICE ASSOCIATION INC
AUSTRALASIAN CHAPTER - Ph 02 49549106 0407027653
e-mail:
91st GENERAL MEETING
Location- St Kilda- VIC
DATE: Friday 20th - Saturday 21st October 2017
REGISTRATION FORM
VENUE: St Kilda Road Park View Hotel
562 St Kilda Rd, Melbourne
www.viewhotels.com.au
MEMBER COMPANY:………………………………………………………………………………………………………
will attend / tenders apology
NAMES OF REPRESENTATIVE/S & PARTNERS (IF APPLICABLE):
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
ACCOMMODATION : St Kilda Road Park View Hotel
**As there are many choices for accommodation, please contact the St Kilda Rd Park View Hotel direct to book your own accommodation and quote the EASA conference as a reference ** DIRECT CONTACT FOR ACCOMMODATION BOOKING IS JO REID 03 9924 8145
MEETING REGISTRATION: $520 for delegate and partner-
$360 for delegate attending without partner
Registration covers
Lunch on Friday for delegate and partner
Friday night ‘Greek’ Dinner – at own cost
Lunch and coffee breaks, - Saturday- for delegate
President’s Dinner for delegate and partner, meeting room and equipment hire, bus hire, social outing for ladies – winery tour and lunch, Saturday
A Discount of 10% will apply to SECOND and SUBSEQUENT registrations if more than one delegate from any workshop will be attending
Registrant 1- incl. partner …………………..@ $480 ea gst inc.
Registrant 2- incl. partner ………………...... @ $430 ea gst inc. (discount rate)
Single Registration
Registrant 1- single …………………..@ $360 ea gst inc
Registrant 2- single ……………...... @ $320 ea gst inc (discount rate)
TOTAL AMOUNT ENCLOSED: = $______
Special payments can be arranged if you only wish to attend the Presidents Dinner- Please advise
Method of payment: cheque/ electronic funds transfer
Please indicate any special dietary requirements: ______
Please indicate number attending combined luncheon Friday □
Please indicate number attending Friday night ‘Greek’ dinner □
Please indicate interest in ladies Winery tour □
Please indicate number attending Presidents Dinner Saturday evening: □
The agenda is in final stages of completion and will be sent ASAP.
Please complete this registration, and forward with payment by 8th OCTOBER 2017 to:
The Secretary
Electrical Apparatus Service Association
17 Exford Ave
Macquarie Hills NSW 2285
Ph 02 49549106 / 0407 027 653 - e-mail:
If you wish to direct deposit registration fee to our bank account, please send completed registration form and indicate method of payment.
Bank account: Commonwealth Bank
BSB: 063 178
A/c No: 10003401
NOTE: ALL REGISTRATION FORMS MUST BE RECEIVED PRIOR TO FRIDAY 8th October 2017
ALL PRICES ARE IN $AU AND INCLUDE GST. UPON RECEIPT OF YOUR PAYMENT, A TAX PAID INVOICE WILL BE ISSUED.