Awards Booking

2010 Excellence in
Policing Awards

Marriott Hotel, Brisbane, Queensland
Saturday, 16 October 2010

DINNER TICKETS
NOW ON SALE

2010 Excellence in Policing Awards Dinner

Date: Saturday 16 October 2010 Time: 7.00pm - 11.00pm Location: Marriott Hotel, Brisbane
Dress: Cocktail/After Five, Mess Kit or Dress Uniform
Cost: $110 per person Inclusions: 3 course dinner, beer, wine and soft drinks

NOTE: * denotes a required field

CONTACT PERSON

Title*

First Name*

Last Name*

Position

Organisation*

Address*

Suburb/City*

State* Postcode*

Country

Phone*

Mobile

Email*

Confirm Email*

AWARDS TICKETS

NOTE: Tables are 10 per table

@ $110 per ticketTotal of Payable

Please reserve these places under the name of

BOOKING INDIVIDUALLY BUT WANT TO BE SEATED TOGETHER?
If you are booking individually but want to be seated together, each person will need to quote the same name for the booking in the field above

SPECIAL REQUIREMENTS

EG Diet or mobility

PAYMENT DETAILS

I am forwarding a cheque made payable to ACWAP

Please issue an invoice (Invoices are automatically issued on receipt of registrations)

I am processing an EFT payment. My payment reference is

OR Forward a remittance advice to ACWAP@confco.com.au

ACCOUNT DETAILS
Bank: Commonwealth

Branch: Canberra City

BSB: 062 919

Account Number: 1023 5880

ACCOUNTS CONTACT

Provide details here if you require a copy of the invoice to be sent to your accounts section.

First Name

Surname

Accounts Email

Phone

If your submission has been successful, a thank you page will appear.
If the thank you page does not appear contact
Conference Co-ordinators on 02 6292 9000