BOOKING FORM

Date: TBA

9.30am - 5.00pm

NAME:                                                                                                        

BUSINESS NAME:                                                                                   

ADDRESS:                                              _                                                

                                                                    P/Code:                                

PHONE:                                   MOBILE:                                   

EMAIL:                                                                                     

Please book me into "The Power of Relationship Marketing" workshop.

INVESTMENT:   $95      EARLY BIRD:  $75       REPEATER:  $75

Credit Card:   __ __ __ __ / __ __ __ __ / __ __ __ __ /__ __ __ __ 

Expiry date : ___ / ___    Name on card:                                                   

Amount payable: $                           Referred by:                                    

OR

jennie@acenet.net.au   from your computer.

Call Jennie on 0414 278 344 for more information.

Email completed form to: jennie@connexionsunlimited.com.au

OR   Fax:  07 3262 5805

Tax Invoice given on receipt of payment