| First Name: |
* |
Organisation: |
* |
| Last Name: |
* |
Workplace: |
*
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Other: |
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| Job Title: |
* |
Town/Suburb: |
* |
| Email: |
* |
State: |
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| Area Code: |
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Country: |
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| Contact Phone: |
* |
| Mobile: |
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| I wish to purchase tickets to the Conference Dinner at $99.00 each. |
| I give permission to have my name and organisation listed on the delegate list. |
| Dietary &/or disability requirements: |
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| Conference Registration: * |
| Member |
$660.00 |
| Member Single Day |
$385.00 |
Day: |
|
| Non Member |
$850.00 |
| Non Member Single Day |
$440.00 |
Day: |
|
Facilitated Tours or Industry Courses
There are limited places available for each selection. Please choose one. |
| Facilitated Tours |
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| Industry Courses / Taster Classes – all priced at $99 per person |
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| DEEWR Training Session |
| This is a complimentry session designed to give participants a hands-on understanding of our range initiatives. You will need to book a 15 minute time slot at the Registration/Help Desk on Day 1 of the conference. |
| I am interested in booking a time slot. |
| (Please note this session can be selected additionally to the Facilitated Tours...) |
| On Friday choose ONE for each Concurrent Session. |
| SESSION 1 – CAPACITY- Policy/Strategies of State/National Significance |
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| Session 2 CONNECTIONS – Industry Applications |
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| Session 3 COLLABORATION – Partnership Focus: Case Studies in Practice |
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| Accommodation: |
| Yes |
No |
If yes, please indicate required accommodation requirements:
Please note the rates are per room per night and do not include breakfast. |
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| Check-in: |
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Check-out: |
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| Number of Nights: |
| I will pay for nights right now. The balance will be paid on departure from the hotel. |
| I will pay my registration by
Credit Card
Cheque
Electronic funds transfer |
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Comments:
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Upon completion of the registration a "confirmation screen" will appear which may be printed, followed by an electronic Confirmation/Tax Invoice which will be automatically sent to the email address provided. Please proceed to edit your details.
If you have not received an electronic Confirmation/Tax Invoice within 5 mins of completing your registration it is likely that an error has occurred. Please contact the Conference Secretariat immediately.
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