Active Members Registration Form

This Registration Form must be completed and submitted online. One delegate per Registration Form. The Accommodation and Travel Form with confirmed travel dates must also be completed and submitted online to ensure accommodation and airport pick up on arrival in Port Moresby, Papua New Guinea.

Registration Details
*Required Fields
* Mr / Mrs / Ms   Surname * Given Name(s): 
* Citizenship * Organization
* Organization Address Post Code
City * Country
State * Fax
* Email * Business Telephone
* Prefrerred name for badge
Accompanying Spouse/Partner/Child Registration Details
Surname Given Names
Preferred name for badge:
Blouse Size
Shirt Size
(please mark shirt/blouse size S, M, L, XL, XXL, XXXL in box provided) 
Active Members Registration Fees
CONFERENCE FEES
Notification less than 2 weeks from Conference date in cancellation of registration will result in 50% deduction of payment

Early Registration with Payment

(Prior to 28/05/10)

 

Late Registration with Payment

(After 28/05/10)

 AMOUNT DUE (US$)
Active member Registration
(select one choice only) 		$275.00 $350.00 $
Accompanying Spouse/Partner Registration
(select one choice only) 		$160.00 $160.00 $
Accompanying Child (12 years and over)
(select one choice only) 		$60.00 $60.00 $
TOTAL PAYABLE TO PPA $USD $
PAYMENT DETAILS:  Payment by Cheque / Bank Draft or Telegraphic Transfer only
Payment by Cheque / Bank Draft
Please make Cheque / Bank Draft in US Dollars payable to Pacific Power Association and mail to:
Pacific Power Association, Private Mail Bag, Suva, FIJI, 
Tel: (679) 3306-022,  Fax: (679) 3302-038
Email: ppa@ppa.org.fj
Payment by Telegraphic Transfer
Please transfer funds in US Dollars to Pacific Power Association’s Bank Account as follows:
Account:  5138058 
Bank:  ANZ Bank(BSB 0890), (Swift code: ANZBFJFX), Victoria Parade, Suva, Fiji
ANZ Bank
Tel: (679) 330 1755, Fax: (679) 330 3649
IMPORTANT REMINDER:
1.  Check (cheque) payments must be received by way of an International Bank draft in US Dollars which states a US Drawee Bank.
2.  Company check (cheque) in US Dollars is acceptable
3.  No personal check (cheques) is accepted
4.  Telegraphic Transfer must be sent directly to the PPA Bank - ANZ Bank (BSB 0890), Suva. Delegates are responsible for paying all   applicable bank fees at the country of origin so that the net amount is deposited into the PPA account. Failing this, PPA will seek payment for the balance of the funds deducted.
(* Required Fields )
 
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