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Models of Success and Sustainability (MOSS)

Thank you for your interest in our SUSTAINABILITY Strategy, Engagement and Communications MasterClass.
 
Please complete the following registration form. You should receive an automatic confirmation of the booking once you submit your registration.  We will then process the registration, confirm payment and provide a followup confirmation letter with full event details, location map, public transport details etc along with a tax invoice receipt.  This should occur within 24 hours of your booking (Monday - Friday).
  
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Form title
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I wish to register for the SUSTAINABILITY STRATEGY, ENGAGEMENT and COMMUNICATIONS MasterClass
  
Name of Registrants. Please note you must list each person separately.
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I wish to register for ..... number of people
  
Membership, Special Offers and Terms: Discounts will be applied as per your classification. Should the event be cancelled for any reason - a full refund will apply. There is a no cancellation policy however substitute delegates are welcome. Program correct at time of printing - however speaker line up may change due to circumstances beyond our control.
  
 
Eco-Business Discount Code
  
PRICE: 2 DAY LIVE MASTERCLASS: MOSS Members: $1,580 Non-Members: $1,980. 20% discount for academia, government, NFPs & Small Business with a further 10% discount for 2 or more from the same organisation. Price includes GST, workbook, participation certificate, arrival tea and coffee, morning tea, afternoon tea, lunch and networking drinks, access to online resources and participation in a 90 minute webinar for follow up guidance, support and peer to peer learning/sharing + attendance or recordings of 2 x 90 webinars. ONLINE MASTERCLASS: MOSS Members $1,300 Non Members $1,600. 20% discount for academia, government agencies, NFPs and Small Business with a further 10% discount for two or more from the same organisation. Price includes: GST, workbook, participation in 8 x 90 minute webinars, access to online resources, participation certificate.
  
First Delegate - First Name:
  
Last Name:
  
Company:
  
Position:
  
Email Address (Please check this carefully as all event confirmations, receipt etc will be sent to this address):
  
Phone Number:
  
Address:
  
State:
  
Postcode:
  
 
SPECIAL Dietary or Other needs. Please specify any special needs or dietary requirements.
  
 
Second Delegate - First Name:
  
 
Last Name:
  
 
Company:
  
 
Position:
  
 
Email Address (Please check this carefully as all event confirmations, receipt etc will be sent to this address):
  
 
Phone Number:
  
 
Address:
  
 
State:
  
 
Postcode:
  
 
SPECIAL Dietary or Other needs. Please specify any special needs or dietary requirements.
  
 
Third Delegate - First Name:
  
 
Last Name:
  
 
Company:
  
 
Position:
  
 
Email Address (Please check this carefully as all event confirmations, receipt etc will be sent to this address):
  
 
Phone No:
  
 
Address:
  
 
State:
  
 
Postcode:
  
 
SPECIAL Dietary or other needs. Please specify
  
 
Forth Delegate - First Name:
  
 
Last Name:
  
 
Company:
  
 
Position:
  
 
Email Address (Please check this carefully as all event confirmations, receipt etc will be sent to this address):
  
 
Phone Number:
  
 
Address:
  
 
State:
  
 
Postcode:
  
 
SPECIAL Dietary or other needs. Please specify
  
 
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, 306 - 320 Tindals Road, Warrandyte VIC 3113
  
 
Credit Card: (please note a 2% credit card processing fee will be charged for all credit card payments. Note only Visa and Mastercard Accepted)
  
If Credit Card please add details below:
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Name on card:
  
 
Card number:
  
 
CVC No:
  
 
Expiry Month:
  
 
Expiry Year:
  
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Type the text presented above:
 

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Models of Success & Sustainability Pty Ltd (MOSS) ACN: 120 102 025
306 Tindals Road, Warrandyte, VIC AUSTRALIA 3113
P:
+61 3 987 99 886 / 0419 798 104
| E: info@moss.org.au | W: www.moss.org.au
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