Let's Stay Connected

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

$0

Please select number of delegates above.

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.

If you need to book accommodation please contact Bendigo Visitor Centre on 1800 813 153 or visit www.bendigotourism.com


Quote: POTATO2016


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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