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An evening under the StarsThursday 12 October 2017
The Australian Institute of Company Directors invites you and your guests to attend the
2017 Gala Dinner Join us at Perth’s premier waterfront venue for an evening under the stars as we celebrate the recipients of this year’s Western Australian Gold Medal Award and the PwC Director Award. Now in its 24th year, the Gold Medal Award will be presented to a WA Director to recognise and honour their contribution to the governance community. Continuing our partnership with PwC, the evening will also recognise a Director who has shown a commitment to excellence in the Not-for-Profit sector. Enjoy a decadent and magical night, featuring talent from the Western Australian Academy of Performing Arts, fine food, exceptional Fermoy Estate wines and great company. This truly will be a night to remember.
SPONSORS EVENT PARTNERS
West Perth
EVENT DETAILS
DATE:Thursday 12 October 2017
TIME: 6.30pm to 11.00pm
Sunset Sundowner from 6.30pm
VENUE:Beaumonde on the Point
Function Centre
306 Riverside Drive, East Perth
RSVP: Monday 2 October 2017
CONTACT: Courtney Blechynden
t: 08 9320 1700
COST: (Events are GST exempt)
2 complimentary tickets as part of
your Corporate Partner membership.
Complete your table of 10: $1520
DRESS: Black Tie
PARKING:Paid parking available
at Point Fraser CPP
280
290
300
310
320
330
2017 WA Gala Dinner REGISTRATION FORMRegister online at companydirectors.com.au or send your completed enrolment form to: Courtney Blechynden, Australian Institute of Company Directors, PO Box Z5333, St Georges Terrace, Perth WA 6831 t: 08 93200 1700 f: 08 9320 1722 e: [email protected]. Please do not send credit card information via email.
Member number (if known):
Name:
Preferred name:
Position:
Company:
Address:
Postcode:
Telephone:
Email:
I have read, understood and agree to the cancellation policy, privacy consent and the other terms on this form.
Payment: (Events are GST exempt)Places will only be reserved on receipt of payment.
I require a tax invoice for payment
Email tax invoice to:
Or please debit my credit card account $
If a corporate card is used, I warrant that I am authorised to use it to pay for this event
Amex Diners Mastercard Visa
Name on card:
Card number:
Expiry date:
Signature:
Please advise of dietary requirements when registering.
Member: $190.00Non-member: $230.00Table of 10: $1,900.00
For a table of 10, attach guest list on a separate document listing guest name, position and company
Privacy statementScope This notice applies to members and non-members who apply forevents, courses and purchase services. Uses and disclosures (sharing)We use the information we collect in this form to enable us to provide theevent, course or service you are seeking. We only use or disclose informationof a sensitive nature (such as dietary or mobility requirements, healthinformation) to process your application and to meet your requirements. Wedon’t disclose course results unless you agree to it or we are required orauthorised by law to provide it (for example, for an ASIC investigation). Weuse information in this form (from members and non-members), and recordsof your interactions with Company Directors, to provide information andservices aligned with your specific needs and interests and (for members)to record Director Professional Development. Unless the event, course orservices is of a confidential nature, we disclose limited information aboutparticipants under strict conditions to sponsors and potential sponsors.This information includes; name, title and organisation. We use sound andimage recordings of events and some courses for quality and promotionalpurposes. Overseas disclosures Some of our contracted service providersare located in other countries including US, UK and Singapore. We takereasonable steps to ensure these service providers do not breach the Australian Privacy Principles (APPs). Guests/partners If you give us information about partners or guests give them the details of this notice.More information and your rights and choices Unless you opt-out (bycontacting Company Directors – details below) we: publish membershipmilestones (for example, graduation from a course) in our Company DirectorMagazine; and send you marketing communications with offers of benefit toyou from Company Directors and selected partners (via a range of means)until 12 months after you cease to be a member or your last interactionwith us. For more about our information handling practices including howyou can ask for access to and correction of the personal information wehold about you and how to make a complaint see our privacy policy atw:companydirectors.com.au/General/Privacy-PolicyCancellation policyA full refund will be provided where written notification (by email or fax) is received at least 7 days prior to the event. Refunds are not provided for any cancellation received after this time or for non-attendance on the day. Substitutions may be made at any time.
DisclaimerAll details were correct at the time of printing. We reserve the right to make changes to the event without notice where necessary. This document will be your tax invoice. Please keep a copy. Australian Institute of Company Directors ABN 11 008 484 197.
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