MEMO! REGISTRATION FORM
The Details Below Will Appear on Your Photo ID Conference Pass. Please type or write legibly
Do you want your contact details below printed in our event Program? YES NO
Prices Below Include GST

 

 Use Duplicate Form For Each Attendee
FOR REGISTRATION
PAID BEFORE JUNE 30

Delegate Name__________________________

Company_______________________________

Address________________________________

City____________ Pcode_________State_____

Phone__________________________________

Fax____________________________________

Email___________________________________

URL____________________________________

 

Special Airfare & Hotel Packages are available through Stage & Screen Travel (Marianne on 02 9383 4544) Sydney.
Do you want info on Hotel Only Airfare & Hotel

Payment enclosed is

Cheque Postal Money Order Bank Draft
(Cheques made out to IMMEDIA! CONFERENCE) by mail only
CREDIT CARD (Visa, Mastercard or Bankcard ONLY-Can be faxed or mailed)
CARD TYPE VISA MASTERCARD BANKCARD

Cardholder's Name________________________
(as it appears on card)

Card #__________________________________

Expiry___________________________________

Signature________________________________

ATTACH PHOTO HERE
Both Days August 18-19 - $350
Friday August 18 ONLY-$220
Saturday August 19 ONLY-$220
(Registration form & payment must be received prior to June 30 to qualify for this early bird rate. Otherwise, regular rates below apply for rego from July 1 to August 7.)
Special Full Time Student Rate - $250
Bulk Corporate Rate - $275 (10 or more)

Attach a passport size photo here for a photo on your laminate pass made before the event for you to pick upat registration. Photos taken on day of show cost $10 extra and may lead to registration delay in separate queue!
FOR REGISTRATION
PAID JULY 1 to AUGUST 7

Both Days August 18-19 - $500
Friday August 18 ONLY-$275
Saturday August 19 ONLY-$275
(We can only accept advance registrations at this rate if received by August 7. After August 7, we will only accept registrations at the venue on the day. MEMO, like last year's NEIC, will likely sell out in advance.)

produced by
IMMEDIA!
20 Hordern St Newtown 2042
Ph: (02) 9557 7766
Fx: (02) 9557 7788
Email: pr@immedia.com.au
URL: www.immedia.com.au/memo
MUSIC & ENTERTAINMENT MEDIA ONLINE CONFERENCE
print the form and post it back to us.

Post your request form to 20 Hordern Street, Newtown NSW 2042, Australia

 

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