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Event Registration Form

For each member attending an event please complete the online form below or download a PDF version which you can print out and fax to (02) 9402 5784.

Registration Details:

Date of Event

Who Is Attending

Member

Non-Member

Dietary Requirements (if any):

How did you find out about The Working Women's Network?
If other, please specify:

	Cheque (make payable to Working Women's Network) Send to: PO Box 85, St Ives, NSW, 2075, Australia
	Direct Deposit into Working Women's Network Account BSB: 112 879 Account No: 419 023 050 (please ensure your name is in the description)
	Secure Credit Card Payment with Paypal We use Paypal as our secure on line payment facility. Please note there is 2.5% fee for all credit card payments. Please make payment from the Membership Confirmation page.