Power Control & Protection Course Australia – Registration Power Control & Protection Course Registration Registration form for the PCPC, 2.5 Days course with optional free Basler DECS-100&250 Training on the last afternoon Attendee 1 - Full Name*Please enter first name, last name of the first person you wish to registerAttendee 1 - Contact*Enter the best contact for the first person you wish to register (Phone or email)Attendee 2 - Full NameAttendee 2 - ContactAttendee 3 - Full NameAttendee 3 - ContactAttendee 4 - Full NameAttendee 4 - ContactAttendee 5 - Full NameAttendee 5 - ContactCompany Name*Company billing address*Best contact's full name*Please enter the full name of the best contact in the company for communication in regards to this registrationBest contact's PhonePlease enter the phone number used to communicate about this registrationBest contact's Email* Enter Email Confirm Email Please enter the email used to send the confirmationSpecial Requirements / Dietary Restrictions...Please enter any special meals requirements for attendees, or any particular requestHow did you find us?*Please help us better target our marketing by telling us how you found usSelect a course:*30/04/2013 -> 02/05/2013 - SYDNEY, Park Royal Hotel07/05/2013 -> 09/05/2013 - PERTH, Novotel Langley HotelPlease select a course (This will allocate all attendees to the selected course. To register attendees in multiple courses, please pick the course with the highest number of attendees and indicate requirements in "special requirements"Select a bundle:*AU$1,990* Per person - Full PriceAU$1,790* Per person - Early bird (Ends 08/03/13)$AU1,790* Per person - Group price (3+)*** GST Excluded / ** Register 3 or more persons at the same time, from the same company & in a single payment Payment type:*Credit card (Extra AU$36 Per person, Ex GST)Bank Transfer** Please note that seats are secured only upon payment received in full. Bank details will be sent by email to "Best contact"Card type*VisaMastercardName on card*Card Number:*Expiry Date:*MM/YYYYPurchase order number:If applicable* I agree to the following: My credit card will be charged as per my selection of course and for all attendees listed above* I acknowledge the following: An administration charge of $470 per person will be levied for any cancellation received after 5 April 2013. A substitute is welcome at no additional chargeTax Invoice I require a tax invoice If you check this box, we will send a tax invoice within the next 7 days to the best contact's email
