TAX INVOICE / RECEIPT: Please complete, send a copy to VHQA and, if claiming through organisation, use as Invoice for Finance Department ABN: 37464230458 Evaluation and approaches, methods and tools – Thursday 27th June 2013 1000- 1430 – Please note there is a limit of 200 places. No refunds for cancellations Name Job Organisation Address Telephone Email All payments include lunch please provide special dietary requirements below** – AAQHC / VHQA member $ 75.00 *Please note, membership number must be provided for this option Membership number * Non member $130.00 GST $ 0.00 (not required) $ TOTAL amount of payment PAYMENT METHOD Payment by Credit Card: All details are completed online and a receipt is issued with payment (no need to send this registration form) * Please note payment includes a 30c administration fee. * Direct Deposit to BSB: 063141 Account No: 10051425 Please use your VHQA Inc name as reference Cheque enclosed made payable to VHQA Inc. Send to: PO Box 55, East Melbourne VIC 8002 ** SPECIAL DIETARY REQUIREMENTS: ____________________________________________________________ Enquiries to: (this is checked
TAX INVOICE / RECEIPT: Please complete, send a copy to VHQA and, if claiming through organisation, use as Invoice for Finance Department ABN: 37464230458 Evaluation – and approaches, methods and tools Thursday 27th June 2013 – 1000- 1430 Please note there is a limit of 200 places. No refunds for cancellations Name Job Organisation Address Telephone Email All payments include lunch – please provide special dietary requirements below** AAQHC / VHQA member Membership number * $ 75.00 *Please note, membership number must be provided for this option Non member $130.00 GST (not required) $ 0.00 TOTAL amount of payment $ PAYMENT METHOD Payment by Credit Card: All details are completed online and a receipt is issued with payment (no need to send this registration form) * Please note payment includes a 30c administration fee. * Direct Deposit to VHQA Inc BSB: 063141 Account No: 10051425 Please use your name as reference Cheque enclosed made payable to VHQA Inc. Send to: PO Box 55, East Melbourne VIC 8002 ** SPECIAL DIETARY REQUIREMENTS: ____________________________________________________________ Enquiries to: (this is checked
vhqaeducationsession-2013jun.docx