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Monash University Industrial Engineering Farewell Gala Dinner

Saturday 21 November, 2009
Caulfield Racecourse
Committee Room, Level 3 Rupert Clarke Grandstand


Please complete the form below by Friday 6 November to register your attendance at this event.
Note: This form is for payment by Credit Card only. If you require an alternative method of payment, please CLICK HERE
Fields marked with an asterisk (*) are compulsory.

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Attending with a guest
($65 per head)
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Dietary requirements


Privacy Statement

The information on this form is collected for the primary purpose of registering you to attend the above event. You have a right to access personal information that Monash University holds about you, subject to any exceptions in relevant legislation. If you wish to seek access to your personal information or enquire about the handling of your personal information, please contact the University Privacy Officer via privacyofficer@adm.monash.edu.au. View the University's Privacy Policy at http://www.privacy.monash.edu.au/index.html

If you are having problems registering online, please contact Alumni Relations
Email: monashalumni@adm.monash.edu.au
Phone: +61 3 9903 4602