Jul 7, 2016 - Email: No. of seats @ $190 each (inc. GST): OPTION: SPLIT TABLE FOR NETWORKING OPPORTUNITIES YES. NO ... A
WE LEARN. WE TEACH. WE INSPIRE. L AT E I S H A D U N BA R QUEENSLAND REDS INDIGENOUS PROGRAM 2 0 1 3 G R A D U AT E
7 J U LY 2 0 1 6
R E D S F O U N D AT I O N L A U N C H #MYSTORY Join Nick McArdle as we launch the Reds Foundation, profiling the pillars of gender, all abilities, and culture in providing the opportunity of success to all young Queenslanders. Reds Foundation Launch Thursday 7th July - 6:30PM for 7:00PM start Rydges Southbank 9 Glenelg Street, South Brisbane $190 inclusive of GST per person
For more information on the event contact Lou Gardiner (07) 3354 9352
[email protected]
WE LEARN.
WE TEACH.
WE INSPIRE.
REGISTRATION FORM / TAX INVOICE STEP 1 - YOUR DETAILS Name:
Company*:
Address:
Postcode:
Phone:
Mobile:
Email:
Date (dd/mm/yy):
No. of seats @ $190 each (inc. GST): OPTION: SPLIT TABLE FOR NETWORKING OPPORTUNITIES YES
NO
*Please note: Invoices will be raised under Company Name when provided. Please use full legal entity.
I will be attending and would like to make a tax free donation: In lieu of attending I would like to make a tax free donation: $25
$50
$100
$250
$500
$1,000
Other $ _________________
$5,000
STEP 2 - PAYMENT OPTIONS Acceptable methods of payment are by electronic transfer or credit card only. Full payment is required on placement of application. Please note that Visa and Mastercards will incur a 1.1% credit card fee, AMEX 2.2%.
Electronic Transfer Electronic Transfer Queensland Rugby Union for the amount of: $ Account Name: Queensland Rugby Union Ltd BSB #: 334-005
Account #: 553 511 011 CORPRF16-
Please email remittance to
[email protected]
Credit Card
Card Type:
Visa
Mastercard
AMEX
(Visa and Mastercard incur a 1.1% credit card fee, AMEX 2.2%)
Card Number: CCV: + Credit Card Fee: $
Amount: $
+ Donation Amount $
Name on card:
= Total: $
Expiry:
(date: mm/yy)
Card Holder’s Signature: I authorise Queensland Rugby to adjust the grand total if any errors are found in my calculations. Office Use Only:
Date paid:
Receipt #:
Initial:
Invoice #:
Tax invoice: this document serves as a Tax invoice for GST purposes when making payment. Please photocopy and retain for your references and tax records. Queensland Rugby Union Ltd ABN 95 055 120 217, 231 Butterfield Street, Herston, Qld, 4006. P L E A S E T U R N O V E R F O R G U E S T I N F O R M AT I O N
STEP 3 - ATTENDEE NAMES Guest 1
Guest 2
Name:
Name:
Company:
Company:
Email:
Email:
Dietary Requirements:
Dietary Requirements:
Guest 3
Guest 4
Name:
Name:
Company:
Company:
Email:
Email:
Dietary Requirements:
Dietary Requirements:
Guest 5
Guest 6
Name:
Name:
Company:
Company:
Email:
Email:
Dietary Requirements:
Dietary Requirements:
Guest 7
Guest 8
Name:
Name:
Company:
Company:
Email:
Email:
Dietary Requirements:
Dietary Requirements:
Guest 9
Guest 10
Name:
Name:
Company:
Company:
Email:
Email:
Dietary Requirements:
Dietary Requirements:
RETURN COMPLETED FORM TO: Corporate Sales at Queensland Rugby, PO BOX 205 Kelvin Grove DC QLD 4059 Email:
[email protected] Ph: (07) 3354 9311 Queensland Rugby Union Ltd ABN 95 055 120 217
