REGISTRATION FORM / TAX INVOICE PLEASE COMPLETE FORM IN BLOCK LETTERS. PAYMENT MUST ACCOMPANY REGISTRATION FORM
DATE Friday, 17 May 2019 VENUE Adelaide Convention Centre, North Terrace, Adelaide SA 5000 TIME Registration and Networking Drinks: 12:00 pm - 12:30 pm | Luncheon: 12:30 pm - 3:00 pm | Networking Drinks: 3:00 pm - 4:00 pm PRICING GROUP BOOKING MEMBER 220 (incl. GST) Per registration $210 (incl. GST) Per registration (3 or more)
NON MEMBER $275 (incl. GST) Per registration
TABLE BOOKING OF 10 $2100 per table (incl. GST)
CONTACT DETAILS (all fields are COMPULSORY)
TITLE FIRST NAME LAST NAME
MASTER ID DOB / / EMAIL
ORGANISATION POSITION
ADDRESS SUBURB /CITY
STATE POSTCODE PHONE ( )
REGISTRATION / ATTENDEE DETAILS (Attendee details must be provided by Friday, 26 April to [email protected]. Confirmation will be sent to emails listed below) NAME COMPANY EMAIL MASTER ID MEMBER Y / N AMOUNT $
Dietary requirements can only be accommodated if provided 14 days prior to event date. Please email [email protected] TOTAL $
PAYMENT DETAILS *This document becomes your TAX INVOICE when fully completed and payment is made. Prices include GST. MY REGISTRATION WILL BE PAID BY (SELECT ONE) EFT CREDIT CARD CHEQUE ENCLOSED ACCOUNT NAME Australian and New Zealand Institute of Insurance and Finance BANK National Australia Bank BSB 083 004 ACCOUNT NO 515117195 BRANCH 330 Collins Street, Melbourne WHEN PAYING BY EFT, REMITTANCE, DELEGATE NAME/S AND EVENT NAME MUST BE SENT VIA EMAIL TO [email protected] AND [email protected]
PLEASE DEBIT MY (SELECT ONE) VISA MASTERCARD AMEX DINERS
CARDHOLDER’S NAME
COMPANY NAME
CARD NUMBER EXPIRY DATE / TOTAL AMOUNT $
CARDHOLDER’S SIGNATURE DATE / / CANCELLATION A full refund less 25% service charge will be made for cancellations advised by letter or email up to fifteen (15) working days prior to the event. Regrettably no refunds can be made after this time. In case of exceptional circumstances please contact customer service. In the event of a registrant’s inability to attend a substitute delegate is welcome. Please email replacement to [email protected] PRIVACY POLICY *Please read carefully ANZIIF collects and stores your personal information for the purposes of providing and promoting continuing education programs and membership services. The information you provide will not be released to any other person or organisation without your consent unless required to do so by law. ANZIIF will on occasion be asked to submit delegate names and contact details to event sponsors. Please tick if you do NOT wish your name and contact details to be released to the sponsors of this event. To review ANZIIF’s full privacy policy go to anziif.com/about/privacy-statement EVENT TERMS & CONDITIONS Filming for personal and professional purposes is strictly prohibited. If found breaching any of the ANZIIF terms, ANZIIF reserves the right to remove delegates from the event. By attending this event you consent to use of filming and photography at the discretion of ANZIIF.
TO CONFIRM YOUR BOOKING, PLEASE COMPLETE THIS FORM WITH PAYMENT AND RETURN TO: ANZIIF, Level 7, 628 Bourke Street, Melbourne, Victoria 3000 Australia | PHONE: +61 (3) 9613 7200 | EMAIL: [email protected] anziif.com 93PDE_0119_800 ANZIIF MEMBERSHIP
ANZIIF is the leading membership body and provider of education, training and professional development services to the insurance and financial services industry in the Asia-Pacific region. With more than 16,000 members in over 50 countries and offices in Australia, New Zealand and China, ANZIIF’s mission is to lead, engage and support the industry through the promotion of professional standards. ANZIIF members are recognised as industry professionals committed to learning and professional development. In addition to the member benefits listed below, ANZIIF also offers Skills Units, qualifications, short courses, compliance and recognition of prior learning (RPL). The benefits of membership are:
ANZIIF post-nominal Affiliate, Associate, Senior Associate and Fellows are classed as Certified Insurance Professionals (CIP) and can use an ANZIIF post-nominal.
Access to lifelong learning—The Members’ Centre Access our library of more than 1,500 articles, forums, news, essays, videos and interactive professional development in the Members’ Centre and earn CIP/CPD points.
CIP/CPD Points Register Members have access to ANZIIF’s online CIP points register, where they can record continuing professional development points.
The Journal CIP members receive the longest-running and most widely-read insurance publication, the Journal, four times per year and all members receive the Journal via email.
Professional Development Events Focused on delivering face to face learning, ANZIIF conducts approximately 35 professional development events during the year. ANZIIF members receive a 20 per cent discount at ANZIIF professional development events.
E-newsletters Twice per month, members receive the ANZIIF e-newsletter, which contains articles focused on technical information, soft skills, profiles and general career advice.
Customised member experience Faculties are classifications based on expertise or area of interest. Selecting your faculty enables personalised communication.
To become an ANZIIF member visit anziif.com/membership or contact customer service on +61 (3) 9613 7200 or New Zealand free-call 0800 103 675. 05MEM_1217