Payment Form Mayoral Debate

Cairns Chamber Mayoral Debate Business Lunch - CREDIT CARD REGISTRATION ONLY

*Direct Deposit or Cheque Payments
If you are paying by Direct Deposit or Cheque, please click the following link to the Direct Deposit or Cheque Payment Form.

Event:
Venue:
Date:
Time:
Bookings:

Mayoral Debate Business Lunch
The Sebel Cairns
Tuesday 17 April 2012
11:30am - 2:30pm
Close 2:00pm, Friday 13 April 2012

Tax Invoice Details
Company
Street/PO Box
Suburb
State
Post Code
Telephone
A receipt will be emailed to the address you enter below
Email Address

Attendee Details (names must be supplied for name badges)
Name (1)	Company

Email
Name (2)	Company
Email
Name (3)	Company
Email
Name (4)	Company
Email
Name (5)	Company
Email
Name (6)	Company
Email
Name (7)	Company
Email
Name (8)	Company
Email
Name (9)	Company
Email
Name (10)	Company
Email

Special Requirements (Dietary needs, etc)
Please note if we are not advised in advance about special dietary or other requirements, we cannot guarantee the venue
will be able to cater for your needs on the day.

Registration Fees
Rate	Quantity	Price (incl GST)
Attendees		$66.00
Table of ten (10)		$590.00

TERMS & CONDITIONS: Ensure the details above are correct before submitting - in particular the number of attendees you are paying for. When you press "Submit Registration " you will be taken to Westpac's Web Advantage service where you can safely enter your credit card information and print a Tax Invoice/Receipt.
Payments are encrypted via 128-bit SSL.

Places will only be reserved upon receipt of full pre-payment.
Seating for individual places is at the discretion of the
Cairns Chamber of Commerce
Refund of registration fees will not be issued unless cancellations are received in writing to info@cairnschamber.com.au at least 2 working days prior to the event
All details were correct at the time of printing. Cairns Chamber of Commerce reserves the right to make changes without notice when necessary.
You will be emailed a receipt upon successful processing of your card
• Cairns Chamber of Commerce - ABN: 25 045 708 264

Cairns Chamber of Commerce - Mayoral Debate - Credit Card Payment Form