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Annual Subscription for year 1 July 2007 to 30 June 2008
$200 (incl GST)

Please print this page or this form, complete, and return it with your payment. Instructions here.

PLEASE NOTE: This application form becomes a Tax Invoice on payment of the Subscription fee.
NO INVOICE WILL BE SENT.

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Date:

Organisation Name & Address:


 

List the people from your organisation who will be the main and alternative contacts for GOVIS administrative communications.

  Name                          Position                        Phone            E-mail

1.


2.

3.

4.

Enclose cheque payable to:
GOVIS Incorporated
PO Box 5592
Wellington 6145

This is a tax invoice when paid. GST Registration No. 80-742-460

Cheque or Direct Credit only please - no credit card facilities, sorry.
GOVIS A/c

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