DEALERS' ROOM RESERVATION FORM
NAME OF
BUSINESS:
_______________________________________________________________
CONTACT PERSON:
_______________________________________________________________
MAILING ADDRESS:
_______________________________________________________________
_______________________________________________________________
CONTACT
TEL: _____________________
E-MAIL:
_______________________________________________________________
TYPE OF
MERCHANDISE - Please
supply a list of categories of what you stock (e.g. new books, secondhand
books, comics, games, video, clothing, jewelry, music, toys, media-related,
armour...)
Extra Equipment
Requirements (will be arranged with the venue and charged directly to the
dealer):
Number of tables
being booked ______ Amount paid $A_________
Payments may be
made by cheque (in Australian dollars) or by Mastercard or Visa:
Type of Card: Mastercard/Visa
Cardholder's
Number:
_________________________________________________
Cardholder's
Name:
_________________________________________________
Expiry Date:
_________ Signature: ___________________________________________
Please send all reservations
to:
DEALERS’ ROOM MANAGER
CONVERGENCE 2
GPO
TEL: 0418 540 160 EMAIL: convergence at natcon dot org dot au