apan canberra registration form

“Developing dynamic alliances for the Aesthetics Industry”

FOR ALL YOUR QUESTIONS PLEASE CONTACT APAN ON 07 55930 360 OR EMAIL: info@apanetwork.comAdditional Registration forms can be down loaded from the APAN website: www.apanetwork.com

Total $ PLEASE MAKE CHEQUES PAYABLE TO THE APAN PO Box 5448, Q Super Centre Q 4218

I would like to pay by Credit Card: ( ) Mastercard ( ) Visa Signed: CVC No

SELECT YOUR LEVEL AND NUMBERS:

Name on the Card: Mobile No:

Card No. Expiry: /

APAN MEMBER @ $45 per person No. coming TOTAL:

NON MEMBER @ $65 per person No. coming TOTAL:

Name: Business Name:

Postal Address:

Email: Mobile No: APAN No

APAN Seminar Registration FormNEW HORIZONS – Business and Professional Development

EARLY BIRDS (BY 10 SEPTEMBER 2011) NOW EXTENDED TO 16 SEPTEMBER

APAN MEMBER @ $65 per person No. coming TOTAL:

NON MEMBER @ $85 per person No. coming TOTAL:

AFTER 10 SEPTEMBER 2011

NAME AND MEMBERSHIP NUMBER OF APAN MEMBERS COMING ON THIS FORM:

NAMES OF NON-APAN MEMBERS COMING ON THIS FORM:

Business and Professional DevelopmentConference & Expo 2011 NATIONAL CONVENTION CENTRE Canberra ACTNew Horizons

APAN

ARPC

ST

C

I

I

T

T

IO

E

N

H

E

T

R

S

S

E

A

A

K

D

R

V

O

IS

W

O

T

RE

Y N

Education - Networking - News - New Releases - Prizes and Rewards - Fun

An event that will change the way you view your profession and your business

The Aesthetics Practitioners Advisory Network presents

Sunday 25 September 20118.30am – 4.30pm