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.
------------------------------------------------------------------------
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

|