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Registration Form:
- The information requested in this form is needed for taxation purposes and is required
by Taxation Law.
- It is not an offence not to quote your tax file number but failure to do so may delay
the processing of this form.
- Some information may be given to certain government bodies as described in Commonwealth
law.
- More details about privacy are in the free brochure Safeguarding Your Privacy,
available at any Taxation Office.
Credit Card Payment Authority
Please Circle the relevant Card type.
| Please charge my: |
Visa / MasterCard / Amex / BankCard / Diners |
| with the amount of:
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| Card number: |
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| Expiry Date: |
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| Cardholder Name: |
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Please provide us with relevant contact
details:
| Phone Number (work): |
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| Phone Number (home): |
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| Fax Number: |
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| E-mail address: |
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| I declare that the information submitted by
me is true and correct: |
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