2007 IFSSH & IFSHT CONGRESS
"HAND IN HAND" POST-CONGRESS MEETING
"THE EVERYDAY SHOULDER"
with Craig Allingham on 15 March 2007
Sydney Convention & Exhibition Centre, Darling Harbour,
Sydney Australia
TAX
INVOICE
REGISTRATION
This form cannot be submitted on-line. Please
complete form on-screen, print, then fax or mail to the AHTA. This
constitutes a valid Tax Invoice - retain a copy for your records, as no
other receipt will be issued
Date of
Invoice
Name
PT OT OTHER
Organisation
Postal Address
City/Suburb
State
P/C
Country
Phone
Fax
Email
PLEASE NOTE:
Numbers for this course are strictly limited and
registrations will be accepted on a first-come, first-served basis
CANCELLATION POLICY
Full refunds
will be granted (less any credit card surcharge) for cancellations
received up to and including 21 February 2007. Registration fees are not
refundable after 21 February 2007, but may be transferred to another
person (AHTA Secretariat must be advised)
March 15
9:15am - 4:30pm
The Everyday
Shoulder with Craig Allingham
AU$286 Inc GST
If
using credit card please select AU$8.60 surcharge Inc GST
SELECT
TOTAL PAYABLE Inc GST
Select
method of payment
Select card type
Bankcard
Visa
MasterCard
Card Nș
Expires:
Name on Card
Signature:
For credit card or
direct deposit payments, please fax completed form to +61 7 3211 4900
Delegates from
Australia my pay by direct
deposit; please quote your surname to identify your online payment.
Bank: Bank of
Queensland - BSB: 124-062 - A/c Nș: 11
244637 - Title:
Australian Hand Therapy Association Inc.
If paying by cheque,
please mail to:
AHTA Inc.
GPO
Box 3254 BRISBANE QLD 4001 Australia