Let's Stay Connected

Contact Name:*
Company Name:*
ABN:*
Postal Address:*
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Total number of delegates:* x $400 pp inc GST =

$0

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Catering - Any dietary requirements:
Additional Comments or Requirements

PAYMENT DETAILS

Payment has been made by EFT to Victorian Certified Seed Potato Authority Inc.
ViCSPA
Bank: NAB
BSB: 083 672
Acc: 730024143
I have posted a cheque made payable to ViCSPA. Post to:
ViCSPA
Private Mail Bag 1
HEALESVILLE VIC 3777
Credit Card (1.5% Surcharge). Phone the office

A Tax Receipt will be sent to the address entered above.

Please do not release my contact details to businesses participating in the conference.



ViCSPA is a not-for-profit, industry-based organisation and all proceeds will be used for future industry development.


Proudly presented by ViCSPA
Send your registration and payments to the Conference Administrator: ViCSPA
PMB 1 Healesville, Vic  3777 ~ Ph: 03 5962 0000 ~ Fax 03 5962 9045 email: potato.conference@vicspa.org.au

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