Australasian Bus & Coach – July 2019

PleasecompleteandreturnthisformtoBusVicbyMonday2ndSeptember 201 9. Phone: (03) 96453300

Fax:(03) 96454455

Email: [email protected]^

Information Post: POBox125,PortMelbourne VIC 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

$1,800 $2,340

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

ABC-FP-5209632-TS-383