You are on page 1of 5

Registration Form

Return completed Registration and Class Selection Forms to


Michele.knudsen@qualatex.com.au or Fax: +612 9905 9316

Delegates Name: CBA?: Yes

Business Name: First time to OzJam?: Yes


(Freshman Year)
Business Name:

Street Address:

Suburb/State/Postcode:

Phone/Mobile:

Email:

Special Dietary Requirements:

Package Price Qty Sub Total

Early Bird Full Package (Payment in full by 30 April 2018)


$645.00
Get the most out of OzJam 2018 with a Full Access Pass!

Full Package (Payment in full by 1 August 2018)


$690.00
All Access Pass to OzJam 2018!

Day Pass Only Sunday 19 August 2018 $300.00

Day Pass Only Monday 20 August 2018 $300.00

Day Pass Only Tuesday 21 August 2018 $300.00


Group booking
First two delegates full price, delegates thereafter $500.00 each
Group Delegates: GST included TOTAL $

Payment Method: Visa MasterCard Direct Deposit Payment Plan

Card Number: / / / Expiry /

Amount: Signature:

Direct Deposit Account Details Bank: CBA BSB: 062 127 Acct No: 10018656 Ref: State and Surname

Payment(s) must be received by 1 August 2018, refunds will not be issued after this date
Sorry, we are unable to accept cheques
Payment plan is available, please refer to the information attached to this form
or contact Michele.knudsen@qualatex.com
We will accept registrations after 1 August 2018, if spaces are or become available
Due to WHS Regulations, delegates must be over the age of 15 years

Class Selection Form


For Sunday 19 August
Please select your Sunday classes and return with your Registration Form

Delegates Name:

Time Class Selection

Entertaining Business with Jay Jay, CBA and Tennille Koelma, CBA
9.00am
Twisting Beginners Class with Matt Falloon and Pippity Pop
10.30am
Event Deco Business with Dave Taylor, CBA and Chris Adamo, CBA
Morning Tea
Soda Pops with Cam Woody, CBA
11.00
Cutie Dolls with David and Shana Brenion
12.30pm
Dcor
Year Book with Keith Stirman, CBA and Dominic Cassidy, CBA (The Balloon Brothers)
Builds
Cadillac with Phileas Flash
Lunch
Soda Pops with Cam Woody, CBA
1.30
Cutie Dolls with David and Shana Brenion
3.30pm
Dcor
Year Book with Keith Stirman, CBA and Dominic Cassidy, CBA (The Balloon Brothers)
Builds
Cadillac with Phileas Flash
Afternoon Tea
Opening Ceremony
3.30pm
(Sophomores then have Freetime until Jam Room 0pens)
4.30
Freshman Introduction Newbies (Freetime until Jam Room Opens)
5.00pm
JAM ROOM 7.00pm 11.00pm
JAM ROOM AFTER DARK 11.00pm - 2.00am AV8 Bar
* Class content and instructors subject to change without prior notice
Please select Monday classes on the following page

Class Selection Form


For Monday 20 August
Please select your Monday classes and return with your Registration Form

Delegates Name:

Time Class Selection

Creative Columns with Cam Woody, CBA

Unleash Your Creativity with Phileas Flash


8.00am
10.00am
Storytime (Photoframes) with Nifty Nicole, CBA and Jeff Hayes

Jam Room
Morning Tea
Design, Inflate, Create with Chris Adamo, CBA

Performance Class with David and Shana Brenion


10.15
12.15pm
The Retail Showdown with Keith Stirman, CBA and Dominic Cassidy, CBA

Jam Room
Lunch
Creative Columns with Cam Woody, CBA

Performance Class with David and Shana Brenion


1.15
3.15pm
Dcor To Go with Keith Stirman, CBA and Dominic Cassidy, CBA

Jam Room
Afternoon Tea
Design, Inflate, Create with Chris Adamo, CBA

Unleash Your Creativity with Phileas Flash


3.30
5.30pm
Storytime (Photoframes) with Nifty Nicole, CBA and Jeff Hayes

Jam Room

JAM ROOM 7.00pm 11.00pm


JAM ROOM AFTER DARK 11.00pm - 2.00am AV8 Bar
* Class content and instructors subject to change without prior notice
Please select Tuesday classes on the following page

Class Selection Form


For Tuesday 21 August
Please select your Tuesday classes and return with your Registration Form

Delegates Name:

Time Class Selection

Social Media with Zoe Adams-Jones, CBA and Sarah Courtney, CBA

Selling Secrets with David Taylor, CBA and Tina Giunta, CBA
8.30
9.30am
Twisting and Entertaining with Tennille Koelma, CBA and Nifty Nicole, CBA
(Round
Tables)
Deco Tool Box with Cam Woody, CBA and Chris Adamo, CBA

Jam Room Cram

Social Media with Zoe Adams-Jones, CBA and Sarah Courtney, CBA

Repeated Selling Secrets with David Taylor, CBA and Tina Giunta, CBA
9.30
10.30am Twisting and Entertaining with Tennille Koelma, CBA and Nifty Nicole, CBA
(Round
Tables) Deco Tool Box with Cam Woody, CBA and Chris Adamo, CBA

Jam Room Cram


Morning Tea
Manic Organic with Cam Woody, CBA and Tina Giunta, CBA
10.45
Quick Link Decor with Keith Stirman, CBA and Dominic Cassidy, CBA
12.30pm
Jam Room Cram
Lunch
Manic Organic with Cam Woody, CBA and Tina Giunta, CBA
1.30
Quick Link Decor with Keith Stirman, CBA and Dominic Cassidy, CBA
3.15pm
Jam Room Cram
Afternoon Tea
GRADUATION (Foyer)
* Class content and instructors subject to change without prior notice
Payment Plan Information

In order to secure your place to OzJam 2018 with added ease, Pioneer Balloon is offering all delegates an optional
payment plan. To arrange a payment plan, please specify this as your Payment Method on the Registration Form.

It is the delegates responsibility to ensure all part payments (to the full value of the registration), are made to
Pioneer Balloon Australia Pty Ltd. Payments can be processed via direct deposit or credit card, please see details
below.

TERMS OF PAYMENT PLAN (Applicable to Full Delegate Registrations only)

Early Bird Registration (prior to 30 April 2018):


Notification to pay by payment plan must be received by 1 January 2018
A maximum of 3 payments can be processed, refer to payment schedule below.
Full payment for Early Bird registration must be received by 30 April 2018, otherwise the full delegate
registration fee of $690.00 will be applied
Notification of all direct deposit payments to Pioneer Balloon Australia Pty Ltd, must be made by email to
Michele.knudsen@qualatex.com
Payment Reference: Delegates surname and invoice number

Full Delegate Registration:


A maximum of 3 payments can be processed, refer to payment schedule below.
Full payment for Full Delegate registration must be received by 1 August 2018
Notification of all direct deposit payments to Pioneer Balloon Australia Pty Ltd, must be made by email to
Michele.knudsen@qualatex.com
Payment Reference: Delegates surname and invoice number

PAYMENT SCHEDULES
Early Bird Registration: $645.00 = 3 Payments of $215.00 Full payment by 30 April 2018
Full Delegate Registration: $690.00 = 3 Payments of $230.00 Full payment by 1 August 2018
One Day Registration: $300.00 = Single Payment Full payment by 1 August 2018

GROUP BOOKINGS
All delegates in the group must register at the same time
First Two Registrations: Full price
Further Registrations: $500.00 per delegate

PAYMENT DETAILS
Direct Deposit: BSB Number: 062-127
Account Number: 10018656
Account Name: Pioneer Balloon Australia Pty Ltd
Reference: Your Surname and Invoice Number
Notification of Payment: michele.knudsen@qualatex.com

Credit Card: Payments are processed over the phone, contact Pioneer Balloon Australia Pty Ltd
on +61 2 9905 9333

*All prices are GST Inclusive

You might also like