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Image courtesy of Aiden Horwood – Heading Out Salon
HBIA
AUSTRALIAN HAIRDRESSING CHAMPIONSHIPS
ENTRY FORM 2015
Given Name:
Miss / Mrs / Ms / Mr Surname:
Home Address:
Postcode:
Salon Name:
College Name:
Address:
Postcode:
Telephone Work: ( )
Mobile:
Home: ( )
Email:
Image courtesy of Aiden Horwood – Heading Out Salon
Name of competitor:
EFT DETAILS: HBIA
BSB NUMBER: 124 104
ACCOUNT NUMBER: 2068 9259
REF: YOUR COMPETITOR NAME
Payment is by: please tick
Cheque
Credit Card
Money Order
EFT
Please make cheque payable to the Hairdressing & Beauty Industry Association
Credit Card Type
Bankcard
Mastercard
Visa
Amex
Diners
Credit Card No:
Expiry date:
Name on Card:
Amount: $
Signature:
Please return your Entry Form to:
HBIA, Suite G02 / 22 St Kilda Road, ST KILDA VIC 3182
T 1800 237 934 | E k.nimmo@hbia.net.au | www.hbia.com.au | www.facebook.com/yourHBIA