JWOC 2007 JWOC 2007

Dubbo, New South Wales, Australia.

PRESS & ADDITIONAL REPRESENTATIVES ENTRY FORM

Must be submitted by June 15, 2007 to JWOC Administration
 
INSTRUCTIONS:
1. Complete the form on screen;
2. Print out a copy for your records;
3. Click the SUBMIT button to send your entry by email to the JWOC Administration.


CONTACT DETAILS:  

JWOC 2007, C/o Nick Dent, 8 Irving Close, Terrigal 2260, NSW, Australia.
Telephone: +61 2 43843627,
Email: dentwood@bigpond.com


ORGANISATION'S DETAILS
Company's Name: Phone:
Address: Mobile:
  E-mail:
   Fax:
Representative's Name:  Date:
 
TYPE OF MEDIA
Journalist Radio
Photographer Extra Representative
Television Other
 
ARRIVAL/DEPARTURE INFORMATION
Arrival Date: Departure Date:
 
ACCOMMODATION  Single room in 4 star motel/hotel, Friday 6th July - Saturday 14th July (8 nights), Australian Dollars (AU$) 640 per person:
Number of Persons Total Cost (AU$)
 
OTHER INFORMATION  Describe any special requirements/requests:

IMPORTANT
Have you entered all relevant data?
Is it all correct?
If so, Print out a copy of the form, using your browser's print icon.
Next, click on the "Submit" button.
(If the data is incorrect, click on the "Reset" button and start again.)


 

PAYMENTS  Take your printed copy of this form to your bank to arrange payment to JWOC 2007.
  All payments must be remitted in Australian Dollars (AU$) to the JWOC 2007 bank account by June 15th, 2007.
Bank Acount Details: Beneficiary: OANSW JWOC 2007
Beneficiary's account No.: 062279 10209432
Bank: Commonwealth Bank of Australia
Address of Bank: Baulkham Hills, NSW 2153, Australia.
SWIFT code: CTBA AU2S
Form created on April 26, 2007