LAW @ WORK – REGISTRATION FORM
DETAILS
Mr/Miss/Ms/Mrs
Name
Job Title
Company
Address
City
State
Phone
Mobile
Postcode
Email
A confirmation email will be sent to this address.
DIETARY REQUIREMENTS
REGISTRATION
Workshop title
Half day workshop
Date
/
/
$550 including GST
PAYMENT
Mastercard
Visa
Card number
Expiry
/
/
Cardholder’s name
Cardholder’s signature
Please note debits to the credit card provided will appear as the trading name of K&L Gates. Payment for this workshop is non-refundable.
Please send me an invoice instead.
CONTACT
Please return your completed registration form to:
Peta-Jayne Withell
T: +61.2.9513.2421
F: +61.2.9513.2399
E: perth.rsvp@klgates.com