Yes, I wish to participate in the Rob Knights Services P/L. (ACN: 001 084 920) “Internet Guide to Professional Services”.

Our practice/office registration fee is $__________________
$60 (< 5 partners) OR $100 (5 or more partners)
Contact:   ________________________________________
Firm Name: ________________________________________
Postal     ________________________________________
Address:
           ________________________________________
City: ____________  State: _____  Post Code: ______
Country: _______________________
Telephone: (   ) _______________
Facsimile: (   ) _______________
My cheque is enclosed: ____
OR my credit card details are as follows.
Cardholder’s Name:_____________________________
Number:  _ _ _ _  _ _ _ _  _ _ _ _  _ _ _ _
                 Please print clearly
Bankcard __  Mastercard __  Visa __  Expiry date: __/__
Signature:

Please print out the form and mail or fax back to:

Rob Knights Services Pty Ltd (ACN: 001 084 920),
17th Level, 115 Pitt Street, Sydney NSW 2000.
Phone: (02) 9233 4333, Fax: (02) 9233 1460, Free Fax: 1800 24 2001
e-mail: [email protected]
OR [email protected]

Your completion and return of this profile information to Rob Knights Services Pty Ltd irrevocably authorises Rob Knights Services Pty Ltd to use any and all information provided by you in its professional survey or media publications. Your firm and/or company name will be kept confidential and not be used by Rob Knights Services Pty Ltd without your written authority. Your authority is given in the case of the Internet Guide to Professional Services by completion of the contact details section of these forms. Whilst every effort is made to ensure that the information contained in reports and publications using this information has been obtained from reliable sources Rob Knights Services Pty Ltd is not responsible for any errors or omissions, or for the results obtained from use of this information.

Copyright – Rob Knights Services P/L (ACN: 001 084 920)