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Registration

Surname:

Preferred Given Name:

Organization:

Postal Address:

Telephone:

Facsimile:

Email:

Indicate below your payment method:

___ Cheque/bank draft enclosed to Australian Property Institute for $US195.00

___ I authorise the Australian Property Institute to charge the total amount to my Bankcard / Mastercard / Visa / AMEX (please circle card type)

Cardholder's Account Number: __ __ __ __ - __ __ __ __ - __ __ __ __

Expiry date: __/__ Amount $US195.00

Cardholder's Signature:________________________________________

To register: Fax, mail or email this form to the Australian Property Institute using the numbers or addresses at the base of the page.

Payment: Payment cannot be accepted at the event. Please forward all cheque or bank draft payments by mail and all credit payments by mail, fax or email.

Cancellations: A full refund will be issued to registrations cancelled in writing no less than14 working days prior to the event. Cancellations made in the 14 working days before the event are non-refundable. Registrations are fully transferable to another person. Cancellation policy applies to all written registrations received, including those without payment

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