ECTA Julie Cross Regional Tour ECTA Cooloola Regional Group Tax Invoice / Registration Form ABN: 31930635743 Date/Time: 21 February, 4pm 5:30pm and 6pm-7:30pm (note new session order times) – Venue: TBC, Gympie RSVP Due: 14 February, 2017 IMPORTANT: This form is your tax receipt upon payment. School/Centre/Organisation: ECTA Qld Membership No: Order Number if applicable: To be paid by: Contact name for these registrations: Contact Phone Number: Email address for receipt confirmation: Personal details for each attendee Session 1 Session 2 Session 1 & 2 What rate are Cost Leadership It’s all about 4pm - 7.30pm you paying? One / Two an inside You! Sessions Job 6pm-7.30pm ECTA QLD ($10/$15) 4pm-5.30pm Regional Group ($20/$30) Non-Member ($40/$50) Name: Email: Name: Email: Name: Email: Name: Email: Name: Name: Name: Name: Name: Email: Total Payable $ Please return the completed registration form via email to or post to 20 Hilton Road Gympie 4570 Payment Details
ECTA Julie Cross Regional Tour ECTA Cooloola Regional Group Tax Invoice / Registration Form ABN: 31930635743 Date/Time: 21 February, 4pm – 5:30pm and 6pm-7:30pm (note new session order times) Venue: TBC, Gympie RSVP Due: 14 February, 2017 IMPORTANT: This form is your tax receipt upon payment. School/Centre/Organisation: ECTA Qld Membership No: To be paid by: Order Number if applicable: Contact name for these registrations: Contact Phone Number: Email address for receipt confirmation: Personal details for each attendee Session 1 Leadership an inside Job 4pm-5.30pm Session 2 It’s all about You! 6pm-7.30pm Session 1 & 2 4pm - 7.30pm What rate are you paying? Cost One / Two Sessions ECTA QLD ($10/$15) Regional Group ($20/$30) Non-Member ($40/$50) Name: Email: Name: Email: Name: Email: Name: Email: Name: Name: Name: Name: Name: Email: Total Payable $ Please return the completed registration form via email to or post to 20 Hilton Road Gympie 4570 Payment Details
Cooloola-JulieCross-ECTATourRegistrationandTaxInvoice.docx