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Sponsorship E-Form - Pacific Islands Telecommunications Association

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PITA 2012<br />

PACIFIC ISLAND TELECOMMUNICATION ASSOCIATION<br />

16TH ANNUAL GENERAL MEETING<br />

APRIL 17 th - 21 st 2012 Conference Venue:- Paradise Hotel & Resort, Norfolk Island, South <strong>Pacific</strong><br />

PITA HOST 2012 - NORFOLK ISLAND<br />

<strong>Sponsorship</strong> Commitment <strong>Form</strong><br />

<strong>Sponsorship</strong> Packages<br />

We are offering a variety of sponsorship packages for PITA 2012 where you can select the level of participation<br />

that best suits your company’s budget. Please select the desired conference session or social activity and return<br />

the <strong>Sponsorship</strong> Commitment <strong>Form</strong>.<br />

Please tick the event or events that you would like to sponsor.<br />

REF NO: TUESDAY 17 TH APRIL 2012 COST AUD$ SPONSORED BY<br />

PITA-01 Morning Tea: 10.30 – 11.00am<br />

$1,200.00<br />

Conference Venue - Paradise Hotel & Resort<br />

PITA-02 Buffet Style Lunch: 12.30pm – 2.00pm<br />

$2,500.00<br />

Conference Venue- Paradise Hotel & Resort<br />

PITA-03 Afternoon Tea: 3.00pm – 3.30pm<br />

$1,200.00<br />

Conference Venue- Paradise Hotel & Resort<br />

PITA-04 Total Daytime Package: $4,900.00<br />

Evening Social Event:<br />

PITA-05 Welcome Reception for PITA Delegates: 5.30pm – 7.00pm<br />

Government House, Quality Row<br />

Sponsored The Administrator<br />

Norfolk Island<br />

PITA-06 3 Course Dinner & Live Band: 7.15pm – to Late<br />

$ 14,000.00<br />

Governors Lodge Resort, Taylors Road<br />

PITA-07 Drinks for the Evening (Wine/ Beer/ Softdrinks) $5,000.00<br />

PITA-08 Total Evening Package: $19,000.00<br />

PITA-09 Complete Overall Package for Tuesday 17 th April $23,900.00<br />

REF NO: WEDNESDAY 18 TH APRIL 2012 COST $AUD SPONSORED BY<br />

PITA-10 Morning Tea: 10.30 – 11.00am<br />

$1,200.00<br />

Conference Venue - Paradise Hotel & Resort<br />

PITA-11 Buffet Style Lunch: 12.30pm – 2.00pm<br />

$2,500.00<br />

Conference Venue- Paradise Hotel & Resort<br />

PITA-12 Afternoon Tea: 3.30pm – 4.00pm<br />

$1,200.00<br />

Conference Venue- Paradise Hotel & Resort<br />

PITA-13 Total Daytime Package: $4,900.00<br />

Evening Social Event:<br />

PITA-14 Sunset Fish Fry Dinner & Entertainment: 4.45pm – 7.15pm<br />

$ 10,000.00<br />

Puppy’s Point, Anson Bay - Feast of Island dishes, salads, fresh fried<br />

fish & Island desserts. Watch the sun set, plus entertainment.<br />

PITA-15 Drinks for the Evening Dinner (Wine & Beer) $ 5,000.00<br />

PITA-16 The Mutiny on the Bounty Show: 7.30pm – 9.00pm<br />

$10,000.00<br />

Salty Theater, Headstone - Watch descendants of the mutineers<br />

bring the story of the famed ‘Mutiny on the Bounty” and historic<br />

events to life in a 1½ hour show performed in an outdoor<br />

amphitheatre.<br />

PITA-17 Total Evening Package: $25,000.00<br />

PITA-18 Complete Package for Wednesday 18 th April $30,900.00<br />

Correspondence to Norfolk Telecom, P.O. Box 469, Norfolk Island, South <strong>Pacific</strong>,<br />

Telephone: +6723-22244, Facsimile: +6723-22499, Email: pitaonnorfolk2012@telecom.gov.nf


PITA HOST 2012 - NORFOLK ISLAND<br />

<strong>Sponsorship</strong> Commitment <strong>Form</strong><br />

REF NO: THURSDAY 19 TH APRIL 2012 COST SPONSORED BY<br />

PITA-19 Morning Tea: 10.30 – 11.00am<br />

$1,200.00<br />

Conference Venue - Paradise Hotel & Resort<br />

PITA-20 Buffet Style Lunch: 12.30pm – 2.00pm<br />

$2,500.00<br />

Conference Venue- Paradise Hotel & Resort<br />

PITA-21 Afternoon Tea: 3.30pm – 4.00pm<br />

$1,200.00<br />

Conference Venue- Paradise Hotel & Resort<br />

PITA-22 Total Daytime Package: $4,900.00<br />

Evening Social Event:<br />

PITA-23 Night as a Convict: 4.45pm – 7.15pm<br />

$ 18,033.00<br />

Rawson Hall, Taylors Road<br />

Dress as a convict & join in with the Commandant for an evening of<br />

gaiety, feasting, singing & dancing. Great fun! (including outfits for<br />

delegates)<br />

PITA-24 Drinks for the Evening $ 5,000.00<br />

PITA-25 Total Evening Package: $23,033.00<br />

PITA-26 Complete Package for Thursday 19 th April $27,933.00<br />

REF NO: FRIDAY 20 TH APRIL 2012 COST SPONSORED BY<br />

PITA-27 Morning Tea: 10.30 – 11.00am<br />

$1,200.00<br />

Conference Venue - Paradise Hotel & Resort<br />

PITA-28 Buffet Style Lunch: 12.30pm – 2.00pm<br />

$2,500.00<br />

Conference Venue- Paradise Hotel & Resort<br />

PITA-29 Afternoon Tea: 3.30pm – 4.00pm<br />

$1,200.00<br />

Conference Venue- Paradise Hotel & Resort<br />

PITA-30 Total Daytime Package: $4,900.00<br />

Evening Social Event:<br />

PITA-31 Smorgasbord Dinner & Live Band/Karaoke: 6.30pm – Late<br />

$9,000.00<br />

R.S.L Club, Taylors Road<br />

Feast on a smorgasbord dinner and dance the night away with a<br />

local band, or even try your luck at karaoke on the last night of the<br />

conference.<br />

PITA-32 Drinks for the Evening $ 5,000.00<br />

PITA-33 Total Evening Package: $14,000.00<br />

PITA-34 Complete Package for Friday 20 th April $18,900.00<br />

REF NO: SATURDAY 21ST APRIL 2012 COST SPONSORED BY<br />

PITA-35 Morning Tea: 10.30 – 11.00am<br />

$1,200.00<br />

Conference Venue - Paradise Hotel & Resort<br />

PITA-36 Buffet Style Lunch: 12.30pm – 2.00pm<br />

$2,500.00<br />

Conference Venue- Paradise Hotel & Resort<br />

PITA-37 Afternoon Tea: 3.30pm – 4.00pm<br />

$1,200.00<br />

Conference Venue- Paradise Hotel & Resort<br />

PITA-38 Total Daytime Package: $4,900.00<br />

PROMOTIONAL PRODUCTS<br />

Describe Promotional Product<br />

you would like to include in<br />

the Delegate’s Pack<br />

Correspondence to Norfolk Telecom, P.O. Box 469, Norfolk Island, South <strong>Pacific</strong>,<br />

Telephone: +6723-22244, Facsimile: +6723-22499, Email: pitaonnorfolk2012@telecom.gov.nf


PITA 2012<br />

PACIFIC ISLAND TELECOMMUNICATION ASSOCIATION<br />

16TH ANNUAL GENERAL MEETING<br />

APRIL 17 th - 21 st 2012 Conference Venue:- Paradise Hotel & Resort, Norfolk Island, South <strong>Pacific</strong><br />

PITA HOST 2012 - NORFOLK ISLAND<br />

<strong>Sponsorship</strong> Commitment <strong>Form</strong><br />

Company Name:<br />

Mailing Address:<br />

Contact Person<br />

Telephone<br />

Email:<br />

Signature:<br />

Title:<br />

Facsimile:<br />

Website:<br />

Date:<br />

METHOD OF PAYMENT: PLEASE INDICATE THE METHOD OF PAYMENT AT TIME OF SUBMITTING THE SPONSORSHIP FORM<br />

Please Tick & complete<br />

♣ Cheque/Bank Draft: Our Cheque or Bank Draft for AUD$<br />

Cheques are to be made payable to: The Administration of Norfolk Island<br />

New Military Barracks, Kingston, Norfolk Island, 2899, South <strong>Pacific</strong><br />

is enclosed.<br />

Important: If payment is made via Cheque/Bank Draft a Confirmation Email outlining payment details must be<br />

forwarded to: pitaonnorfolk2012@telecom.gov.nf<br />

♣ Direct Deposit Payment Amount:<br />

Account Name: The Administration of Norfolk Island<br />

Commonwealth Bank, Norfolk Island - BSB Number: 062-950 Account Number: 00070028<br />

Deposit Description: PITA 2012-(Name of Company)<br />

Important: If payment is made via Direct Deposit a Confirmation Email outlining payment details must be<br />

forwarded to: pitaonnorfolk2012@telecom.gov.nf<br />

♣ Please charge my Credit Card: _________________ ♣ MasterCard ♣ Visa ♣ Diners<br />

CARD NUMBER <br />

EXPIRY DATE: ……/……<br />

CARDHOLDER’S NAME:<br />

CARDHOLDER’S SIGNATURE:<br />

We greatly appreciate your support and thank you in advance for your<br />

willingness to support this conference on Norfolk Island<br />

Please return your <strong>Sponsorship</strong> Commitment <strong>Form</strong> to : Norfolk Telecom P.O. Box 469, Norfolk Island 2899; or via<br />

Facsimile : +672322419; Email: pitaonnorfolk2012@telecom.gov.nf Enquires to Telephone: +6723-22444<br />

Correspondence to Norfolk Telecom, P.O. Box 469, Norfolk Island, South <strong>Pacific</strong>,<br />

Telephone: +6723-22244, Facsimile: +6723-22499, Email: pitaonnorfolk2012@telecom.gov.nf

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