Three Days in October

   
An Individual Budget for Every Service User
Organising Self-Directed Services and Personal Budgets

 Monday 22 October 2012   

Medicare Locals, Innovation and Consumer-Centred Care
     
Making Local Innovation Happen
 Tuesday 23 October 2012   

Natural Care and Belonging: A Think Tank
Thinking Beyond Formal Institutions and Professionalised Care

 Wednesday 24 October 2012    

Registration and Payment Form 


I wish to register to attend: (please tick one, two or three boxes)

An Individual Budget for Every Service User:
        Organising Self-Directed Services and Personal Budgets

Medicare Locals, Innovation and Consumer-Centred Care:
        Making Local Innovation Happen

Natural Care and Belonging: A Think Tank
        Thinking Beyond Formal Institutions and Professionalised Care

CLICK HERE for further information about these events.

Please provide the following contact information

Name
Organisation
Work Phone
Email
 Address
Address 
State
Postcode
Country

Please describe your current role and your interest in this event(s):


TYPE OF REGISTRATION 

Fee (includes GST)

  One
day
Two
days
Three
days
Individuals, users of services (self-funded) $55 $88 $110
Groups (self-help, advocacy, community) $132 $253 $286
Service providers, practitioners $220 $440 $550
Academics, researchers $220 $440 $550
Commercial (trainer, consultant, planner) $220 $440 $550
Government $330 $660 $770

I will be attending as a

         
 

Payment Options

Please reserve my place and
            
 
I will send my cheque/money order to  Social Enterprise Partnerships
PO Box 159
Yarraville VIC 3013
(Cheque payable to Social Enterprise Partnerships)
OR  
I will pay by EFT transaction:

 

 

Bank: Commonwealth Bank of Australia
Account name: Social Enterprise Partnerships Ltd
BSB: 062 218
Account number: 1007 2945
Please send a tax invoice.

I have read, and accept the terms and conditions described below.

 
 


Terms and Conditions
1. Registration fees must be paid in full before the date of the event.
2. Cancellations must be notified in writing by 12 October, 2012. For cancellations received after 12 October, full fees will apply.
3. Transfer of registration is permitted where necessary, to enable another person from the same organisation to attend the event in place of the person whose name is shown on the registration form. (Should you wish to take up this option, please advise  on the change of name and contact details before the date of the event.)

Social Enterprise Partnerships Ltd
ABN 47108742098
PO Box 159
Yarraville Vic 3013