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Registration Form By completing this form, you are agreeing to the Terms and Conditions outlined in the previous pages. First Name Email Last Name Country of Citizenship Shirt Size Passport No. Expiry Date of Birth First Name Email Last Name Country of Citizenship Shirt Size Passport No. Expiry Date of Birth YOUR NAME MUST BE SHOWN EXACTLY AS IT APPEARS ON YOUR PASSPORT Company Address City State Postcode Country Website COMPANY INFORMATION ONLY WILL BE PROVIDED TO THE HOST COMPANIES FOR APPROVAL Full Delegate - $4500.00 AUD Partner - $3900.00 AUD Optional Tour - $400.00 AUD Method of Payment Credit Card Cheque Bank Transfer Type of Card Name on Card I understand that the cost of the tour is AUD$4500.00 for attendees and AUD$3900.00 for partners and a 50% deposit is required to secure my booking. A second payment of 50% will be required by the 15 th September 2013. If paying by credit card a processing fee of 2% will be payable. Please make cheques payable to the Association of Rotational Moulders Australasia and post to PO Box 826, Ipswich QLD Australia. Bank transfers can be made on the following details. Please ensure you state your name in the reference: Bendigo bank Limited, Ipswich City Mall, Ipswich QLD 4305 BSB: 633 000 ACC: 130084171 SWIFT: BENDAU3B Card Number Total Amount AUD$ Card Holders Signature DATE Expiry 10
Images used are under CC License and should be thus maintained under the CC guidlines. The following is credits to the works within this document. Front page - Arian Zwegers. page 2 and page 3 backgrounds - Dennis Jarvis , page 4 background - Vinoth Chandar , page 5 - top and bottom and page 6 - Arian Zwegers , page 7 right and bottom- Emmanuel Dyan , page 8 right - Patty Ho , page 8 bottom - Ana Requel S. Hermandes , page 9 (top) - Steve Evans , page 9 (bottom) - Ryan (ruffin_ryan flikr) , page 10 (top) - Alosh Bennet , page 10 (bottom) - Vinoth Chander , backpage - Vinoth Chandar
Page 1 and 2: [Type text]
Page 3 and 4: WELCOME The Association of Rotation
Page 5 and 6: The Factories Rototour has been hon
Page 7 and 8: Ahmedabad Ahmedabad, India is the l
Page 9: Cost Registration Includes Full ARM

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