Sustainability Advisor Dr Martin Blake. MOSS Members $1,100 Non Members $1,295. Carbon 123 Program participants 5% discount. Tickets include a one day workshop, full workshop notes, arrival tea and coffee, morning and afternoon tea, lunch, a podcast of the Royal Mail Case Study and participation in two 60 minute webinars for post workshop follow up. There is a no cancellation policy however substitutes are welcome. The organisers reserve the right to postpone or cancel with a full refund if minimum numbers are not achieved. Corporate Workshops are available for $12,950 a day + flights and expenses.

I wish to register for ..... number of people

Membership

Last Name:

Company:

Position:

Email Address:

Phone Number:

Address:

State:

Last Name:

Company:

Position:

Email Address:

Phone Number:

Address:

State:

Last Name:

Company:

Position:

Email Address:

Address:

State:

Company:

Position:

Email Address:

Phone Number:

Address:

State:

Last Name:

Company:

Position:

Email Address:

Phone Number:

Address:

State:

Payment Details. I wish to pay (please tick the relevant Box)

Direct Deposit Models of Success & Sustainability Pty Ltd, BSB: 033 009 A/C: 319 414 If paying by direct deposit, please use your company name as the reference. Once the money has been paid, confirmation and a receipt will be issued via email.

Cheque: Please make cheques payable to Models of Success & Sustainability and post to MOSS, 54 Eden Valley Road, Warranwood VIC 3134

Credit Card: (please note a 2% credit card processing fee will be charged for all credit card payments. Note only Visa and Mastercard Accepted)

Name on card:

Credit card type:

Card number:

CVC No:

Expiry Month:

Expiry Year: