The Thriving Practice
A Business Development Day for Practice Owners and Teams
Thursday 13 July 2023 – Tamworth
First Name:
Last Name:
Email:
Phone Number:
Practice Name:
Item
Price
$127 + GST = $139.70
$254 + GST = $279.40
$381 + GST = $419.10
$508 + GST = $558.80
Participant #1 Full Name
Participant #1 Dietary Requirements
Participant #2 Full Name (Only fill if you choose 2 tickets and above)
Participant #2 Dietary Requirements (Only fill if you choose 2 tickets and above)
Participant #3 Full Name (Only fill if you choose 3 tickets and above)
Participant #3 Dietary Requirements (Only fill if you choose 3 tickets and above)
Participant #4 Full Name (Only fill if you choose 4 tickets)
Participant #4 Dietary Requirements (Only fill if you choose 4 tickets)
Credit Card Number:
CVC Code:
Expiry Month:
Expiry Year:

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