This registration form allows people to register for one of two events held by "Your Life Styled", a women's workshop. It requests contact information like name, address, phone number and email. It also asks how the person heard about the event. It provides details on the two event dates, locations, and ticket prices of $65 each or $55 each for 4 or more tickets. Payment options of direct deposit or cheque are listed, with instructions provided. Upon completion, confirmation of registration and ticket will be emailed.

1. Registration Form
Your Life Styled Workshop for Women
Please complete this form and return via fax 08 6230 5335 or email
Events@YourLifeStyled.com.au
Please tell us how you heard about Your Life Styled:
First name:
Surname:
Address:
Phone numbers: Home: Mob:
Email address:
Please tick which event you are registering for:
Ticket Please
Date Venue
price tick
Saturday 23rd October 2010 The Saint, 2 Morris Rd Innaloo $65.00
Saturday 27th November 2010 The Lord Forest, Bunbury $65.00
Please indicate the number of tickets required. Number of tickets
required at $65 each
If you are ordering 4 tickets or more Number of tickets
you will receive a $10 discount on (4 or more ) at $55 each
each ticket ! Total Price
Payment for is required prior to the event. Please check your preferred method:
Direct Deposit: Your Life Styled BSB: 036123 Account Number: 313175
Please use reference: (Your surname & date of event) i.e Smith9oct
Or you can pay by mailing a cheque or money order to:
Your life Styled C/- Jo Saunders, PO Box 11 North Perth 6006.
Thank you for your registration. You will receive an email confirming
your booking has been processed and your ticket will be mailed to
your address. For enquires please contact Jo Saunders at
Enquires@YourLifeStyled.com.au or telephone 1800 123 484.
We look forward to meeting you on the day.
Dee, Steph and Rebecca