http://www.sandiego.edu/soles/documents/TConsult_Bangkok08_form

Page 12

Globalization,

LEADERSHIP & Sustainable

DEVELOPMENT

in

action.

RegistrationForm/2

....................................................................................... I hereby apply for membership to the 2008 –Globalization, Leadership & Sustainable Development in Action Conference.. I understand that this application constitutes a contract between me and T-Consult and that my application authorizes T-Consult to conduct this Conference in the manner described. My conference fee/deposit accompanies this application. I understand and agree to the policy that no refunds will be issued after 27th November, 2008.

Applicant Signature_____________________________ Date:____________

I include payment for:

Total cost of the Conference $2500 (residential)

Total cost of the Conference $2000 (non residential)

Method of Payment:

Westpac Banking Corporation Australia

By cheque made out to T-Consult

Account Name: T-Consult, Advisors in Leadership and Institutional Transformation

By Pay Pal via email (Credit card and cash)

By Bank Transfer

- 5 - 10 December 2008.

BSB: 033048 Account Number: 322472 International Transfers to Australia : Swift code WPACAU2S

Bangkok - 5 - 10 December 2008.

Bangkok - 5 - 10 December 2008.

Bangkok - 5 - 10 Dec


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