TOWNSVILLE DINNER - Civil Contractors Federation

2013 TOWNSVILLE DINNERVENUE Table 51, 51 Palmer Street, South TownsvilleDATE Thursday 21st February 2013RSVP Thursday 14th February 2013TIME 6.30pm registrations and pre-dinner drinks, for a 7pm start, until 10.30pmCOST $110 CCF Members | $130 Non CCF MembersINCLUDES Gourmet 3 course dinner with 4 hour beverage package and live entertainmentDRESS Smart CasualPROUDLY SPONSORED BY

TOWNSVILLE DINNERREGISTRATION FORMVENUE Table 51, 51 Palmer Street, South TownsvilleDATE Thursday 21st February 2013 | RSVP Thursday 14th February 2013COST $110 CCF Members | $130 Non CCF MembersCOMPANY NAMECONTACT NAMECONTACT PHONE NUMBErEMAIL ADDRESSNAME/S OF ATTENDEESEMAILTOTAL NUMBER OF ATTENDEES REGISTEREDPAYMENT AUTHORITYCOMPANY NAMECivil Contractors Federation (QLD Branch) ABN: 24 778 482 95211 Hi-Tech Court, Eight Mile Plains, Qld 4113Ph: 07 3360 7933 | Fax: 07 3360 7944AMOUNTPayment OptionsCHEQUE: Please find enclosed my cheque. Make cheques payable to ‘Civil Contractors Federation’ Direct Deposit: I have notified finassist@civilcontractors.com of my direct deposit. BSB: 124 001 ACCOUNT NUMBER: 10255258 credit card payment:VISA MASTERCARD DINERS AMEX 2% surcharge applies on Visa and MasterCard, 4% on Diners and AmexCard number Expiry date CVC (last 3 digits on back of card)Name on cardSignaturePlease note:For your security all credit card details are destoryed after the transaction has been processed.By completing this registration form you are agreeing to any photos taken at this event being usedfor CCF marketing material.Please tick here if you do not want your photos to be published in CCF marketing material.Mail/fax/email Registration Form with payment (cheque attached orCredit Card Payment details) completed on this form to: Civil Contractors Federation,11 Hi-Tech Court, Eight Mile Plains, QLD 4113 OR Fax to: (07) 3360 7944OR Email: qldevents@civilcontractors.comBookings are strictly limited. Registrations will be taken on a first monies received basis,until sold out.CANCELLATION POLICY Due to the requirement of CCF to provide final numbers tothe venue, cancellations after 12noon on14th February 2013 will be charged in full.