‘Experience the Difference’ RoadShow

Registration Form
Registration fee: $10.00 (incl. GST) each.
Please see over for terms and conditions.

Yes, register me now! Seating is limited ~ Don’t delay, register today!

Name _________________________________________________________ ID _______________ Rank ___________________________________

Unit Name ______________________________________________ Email* __________________________________________________________

*current email address required for confirmation of registration

Address ________________________________________________________ Suburb __________________________________________________

State _________________ Postcode ________________________________ Phone ___________________________________________________

Venues (please tick one of the boxes below)

SYDNEY: Monday February 1 ~ Crowne Plaza Norwest ADELAIDE: Monday February 8 ~ Lakes Resort Hotel
(1 Columbia Court, CASTLE HILL NSW 2154) (141 Brebner Drive, WESTLAKES SA 5021)

BRISBANE: Wednesday February 3 ~ Victoria Park Golf PERTH: Thursday February 11 ~ Assured Ascot Quays
Complex & Function Venue (150 Great Eastern Highway, ASCOT WA 6104)
(Herston Road, HERSTON QLD 4006)
MELBOURNE: Friday February 5 ~ Beau Monde International
(934 Doncaster Road, EAST DONCASTER VIC 3109)

Payment Methods
I would like to order “Experience the Difference” tickets @ $10.00 each. (Max. 5 tickets). Total Cost:
$
Select your payment method by ticking one on the boxes below:

Please process a Direct Debit** transaction against my nominated debit account.

** If you have not previously submitted a signed Direct Debit Notification Request, please attach one with this form. Direct Debit Notification forms can be
downloaded from the CBC.

Please charge my Credit Card. Visa / Mastercard (Please circle)

Card Number __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiry Date ___ /___
Cardholder Name ___________________________________________________________________ (please print)
Signature ____________________________________________ Date ___ / ___ / ___
Please see over for payment processing details.
Signature ________________________________________
I agree to the terms and conditions of this registration. If I am not able to attend, (Your registration will not be processed without your signature.)

Post this form to: Fax this form to:

Sales Events Department Attention: Sales Events Department
PartyLite Pty Ltd Fax: (02) 9678 9692
PO Box 6100
BLACKTOWN DC NSW 2148

TAX INVOICE CONFIRMATION

This registration form will constitute a Tax Invoice upon full payment for You will be emailed a message confirming your registration within 10 days
the purposes of Section 29-70 of a New Tax System (Goods and Services of receipt of this form. Please ensure your email address above is correct.
Tax) Act 1999.

Office Checked: Date Received: Date Payment

Use Processed:
Only Date Tickets Sent:

PartyLite Pty Ltd, PO Box 6100, Blacktown DC NSW 2148 | Tel: 02 9830 5600 | ABN 39 095 553 227
 “Experience the Difference” Events
~ Terms & Conditions ~

1. General:
Please direct all enquiries to gthompson@australia.partylite.com.

2. Registration:
Your registration includes: - entry into the nominated “Experience the Difference” event
- PartyLite “goody” bag

3. Participants:
All attendees, regardless of being a PartyLite Consultant or “VIP” Guest must hold a valid “Experience the
Difference” ticket to attend an event. Out of courtesy to all registrants, we do not allow babies, infants or
children at these events.

4. Photography, Videotaping & Audiotaping:

By registering for and attending our “Experience the Difference” events, you authorise PartyLite Pty Ltd to
use your picture in print and/or video/audio production for any purpose. For copyright reasons no video or
voice recordings of are permitted under any circumstances. Still photography is permitted.

5. Protocol
While participating at any PartyLite event, each and everyone of us is held by the public to be an ambassador
for this Company; we are all part of its image, reputation and brand appeal to the public. If inappropriate
behaviour is reported to any member of staff, then all parties involved will be asked to leave the venue.

6. Sale and Payment of Tickets

All tickets are non-refundable. Seating is limited at the events and tickets for seating will be available for
sale until seating capacity has been filled. Tickets are valid for the “Experience the Difference” event as
specified on the ticket.

Registration forms will be processed in weekly batches, and payments will be processed on the Friday of
each week. The cut-off time for receipt of registration forms each week is 11.59 pm (Sydney time) on
Thursday and payments for these forms will be processed on Friday of the same week. Any forms received
after midnight on the Thursday, will be processed in the following week’s batch. Once payment has been
accepted, tickets will be issued and sent directly to the registering Consultant.

To avoid any delays with issuing tickets, please ensure you have sufficient funds in your nominated account
to cover the expense.

Please note there is a maximum of 5 tickets per Consultant (ie. Consultant plus 4 VIP Guests).

Please refer to the CBC for details of tickets availability per venue.

PartyLite Pty Ltd, PO Box 6100, Blacktown DC NSW 2148 | Tel: 02 9830 5600 | ABN 39 095 553 227