KISWA/WA Forum present

Icebreaker 2003

'Parley at Parliament'

Tuesday evening, 11th of February

See as much (or as little!) of the WA Parliament as you like!
Tours are optional, just turn up at the given times.

Time:
4:30pm: Assemble for Parliamentary Tour
5:30pm: Assemble for a tour of the Parliamentary Library
6-7pm: Catered party in the Strangers Bar

Place:
Parliament of Western Australia, West Perth
Go through the main entrance facing the city to assemble for tours, and to find the Strangers Bar.
Free parking nearby

Pre-payment (cheque or credit card) required by the 7th February

ALIA members: $20
Non-members $25

Credit card payment for KISWA/WA Forum Icebreaker 2003
11th February, 2003
ACN 090 953 236

Please print this form out, complete the details and fax direct to:
Lisa Kidd, fax: 9220 1918

Cheques and credit card forms may be posted to:
KISWA treasurer, Camille Peters, 26 Wilkinson Street, Gosnells WA 6110

Name of person/s attending: ..........................................

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

ALIA membership number/s: ..........................................

Bankcard
Mastercard
Visacard

The full amount of this account may be debited to your Bankcard, Mastercard, or Visacard account. Your signature below is authority for the amount shown. The Association is unable to process American Express.

Card number: ................../................../................./................../

Expiry date:............... Card type: .................

Please circle correct amount:

$20.00 ALIA member
$25.00 Non-member

Cardholder's name - please print:................................................................

Cardholder's signature:..............................................................................

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