Registration Form

Deadline for Registration: 31st March 2020

Account Details:

Charolais Society of Australia Limited
Suite 6, 188 Beardy Street
ARMIDALE NSW 2350

National Australia Bank
191 Beardy Street
ARMIDALE NSW 2350
AUSTRALIA

Swift code: NATAAU3302S
World Congress
BSB 082 407
Account 98 443 2198
Your Details
Name as on Passport
First Last
Please Choose One
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Gender
Date Of Birth
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Email
Phone
Languages Spoken
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Accommodation
Accommodation Type
If Twin/Double rooming with:
Dietry Requirements
Dietary Requirements (please list any special dietary needs)
Known Allergies: (please list any known allergies)
Other Requirements (if you need assistance please indicate)
Arrival Information
Airport
Airline
Flight Number
Arrival Date
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Arrival Time

: HH

MM
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Departure Information
Airport
Airline
Flight Number
Arrival Date
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Arrival Time

: HH

MM
Other (Please Specify)
Tour Information
Please Select The Tours You Will Be Attending (If Applicable)
- Pre Tour Victoria
- Post Tour Western Australia
- World Congress 2020
Please Select One
If you wish to attend a part of the program please indicate dates below (We will consult with you by email/phone)
Date From
Date Format: MM slash DD slash YYYY
Date To
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Payment Information
Payment Date
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Payment Reference

Registration Form

Registration Form

Deadline for Registration: 31st March 2020

Account Details:

Your Details

Accommodation

Dietry Requirements

Arrival Information

Departure Information

Tour Information

Payment Information