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2008 ORIC Conference Payment Form
Please print out - fill in details - make sure you add your signature
FAX to 9487 8666 OR post to ORIC, PO Box 634 Wahroonga NSW 2076
Organisation: ____________________________________________________
Full name:_______________________________________________________
Contact Phone Number:____________________________________________
I enclose a cheque, money order or bank draft payable to ‘ORIC’ for the total cost of $ _________
OR
Please debit my __ VISA __ M/CARD for the above fees. Charges appear as ‘ORIC’.
Card number __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ Exp date __ __ /__ __
Name on card (BLOCK letters please) _________________________________________
Authorised Signature: ____________________________________________________
Date: __________________
Form can be faxed to: 9487 8666
OR
Posted to: ORIC PO BOX 634 Wahroonga NSW 2076
Terms and Conditions
Privacy Policy: By submitting your registration form you authorise ORIC to retain your personal details on their database.
Details will not be disclosed to any other party without your permission and will be removed from our database on request.
Cancellation Policy: Cancellation of registration must be made in writing.
A cancellation fee of 25% will apply for cancellations made on or prior to 1 August 08.
A cancellation fee of 50% will be charged after this date until 15 August 08, after which no refund will be payable.