Event Registration
First Name (*)

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Last Name (*)

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Phone (*)

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Mobile

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Organisation

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Special Needs/Dietary Requirements (*)

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Online Registration
prior to 08/06/2012
Cost $10.00 		Registration After 08/06/2012
Cash payment on the day
Cost $15.00
Payments Registration prior to the 08/06/12

Cheque: made out to SustainableWA

Please send to Event Manager, PO Box 644, Kalamunda WA 6076

Electronic Transfer BSB: 036 037 Account: 318818
Use your last name as a reference


If choosing this option please forward remittance advice to sustainablewa2@gmail.com


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