PleasecompleteandreturnthisformtoBusVicbyMonday2ndSeptember 201 9. Phone: (03) 96453300
Fax:(03) 96454455
Email: [email protected]
Information Post: POBox125,PortMelbourneVIC 3207
Entityname:
Address:
City: State: PostCode:
Contactperson: Position:
Telephone/mobile: Email:
registrationfee
Theexhibitormustpaytheregistrationfeeforeachofitsrepresentativeslistedabove.Thefullregistrationfeeincludesadmissiontoallconference
presentations,mealsandsocialeventsforthe2 days- Tuesday1standWednesday2ndOctober2019.Dayonlyrepresentativeexcludesdinner.
paymentdetails
PleaseselectoneofthefollowingmethodsofpaymentCheque,CreditCardorEFTDeposit
Cheque Payableto:BusAssociationVictoriaInc
CreditCard CardType Visa Mastercard
CardHolder’sName:
CardNumber:
ExpiryDate: /
Signature: Amountpaid:$
EFTDeposit BSB033-018,Bank(Westpac)A/C 347601 Dateofdeposit / / EFTRef
(first5 lettersofcompany)
Category TotalPrice
delegate registration form
GrandTotal
Non-Members
Price(incGST)
MembersofBusVic/ BIC/
OtherStateAssociations
Price(incGST)
$
termsandconditions
Delegate registration and participation in the event are subject to BusVic's 2019 BusVic Bus Expo & Maintenance Conference terms and conditions.
They can be found at the BusVic website (busvic.asn.au) within the Delegate Handbook. Please make sure that all delegate representatives listed read
the Handbook and are aware of its contents.
All elds must be completed for your registration application to be considered.
Dinneronly(Tuesdayevening)
Tableof 10 forTuesdayDinner(1freeofcharge)
$200 $260
$1,980 $2,520
FullDelegate(2days,Tuesdinner& Weddrinks/canapés) $550 $700
MAINTENANCE
2019 CONFERENCE
BUS EXPO AND
Quantity
Dinner&drinks/canapés(Tuesday& Wednesdayevenings) $300 $360
ApprenticeDelegate(daysonly) $260 $330
Wednesday only (no drinks/canapés) - BusVic school bus operators and
Community Transport Organisations / Not For Prots only
$190 N/A
Wednesday only (inc drinks/canapés) - BusVic school bus operators and
Community Transport Organisations / Not For Prots only
$280 N/A
delegate’sdetails (Includesmeals- pleaseticktoconfirmyourattendance) Childrenunder 18 yearsofageattendfreeofcharge(daysonly)
1
2
3
4
6
7
8
9
Tueslunch Tuesdinner Wedlunch Tueslunch dinnerTues lunchWed
Wedcocktails Wedcocktails
5 Name 10
Email
Email
Name
Email
Email
Name
Name
Name
Email
Name
Name
Name
Name
Name
Email
Email
Email
Email
Email
ChildUnder 18 ChildUnder 18
Dietary Requirements - please email the attendee name and their dietary requirement/s to [email protected]
Child under 18 years (days only) Free of charge Free of charge
Are you a member of any of the following Associations:
Member number or name in which membership is held:
BIC BusVic BusNSW BusSA QBICTasBus BusWA