Project Procure logo

Seminar Registration

Please complete the form, print and fax or scan/email to:

Fax: 07 3814 5771

 

Name & Date of Seminar:

Company Name:

Postal Address:

Suburb:

State:

Postcode:

Telephone:

Fax:

Approving Manager:

Position:

Email:

Attendee Details

1st Delegate Name:

Position:

Telephone:

Email:

2nd Delegate Name:

Position:

Telephone:

Email:

3rd Delegate Name:

Position:

Telephone:

Email:

4th Delegate Name:

Position:

Telephone:

Email:

Payment Details

Option 1 – Credit Card

Cardholders Name

Card Number

Expiry Date

Amount

Card Type

Cardholders Signature

Option 2 – Direct Deposit

Account Name: Project Procure Pty Ltd
BSB: 014- 315
Account Number: 482671762

Please contact us on 07 3814 5771 for an invoice number.

Option 3 – Cheque 

Please make cheques payable to Project Procure Pty Ltd

Mail with Registration form to:
Project Procure Pty Ltd
GPO Box 195
BRISBANE QLD 4001