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Workshop & Seminar Registration Form

Each member or guest wishing to attend a workshop or seminar will need to complete a registration form.

Registration Details:

First Name
Last Name
Business Name
Position
Address One
Address Two
Suburb
State
Postcode
Business Telephone
Fax
Mobile Telephone
Email Address

Event Details

Name of Workshop or Seminar
Date
Who Is Attending
Member Non-Member
Dietary Requirements (if any):

Payment Method

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)
 
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