NATSIEH CONFERENCE ONLINE REGISTRATION

Name: NATSIEH CONFERENCE ONLINE REGISTRATION
SKU: 2195
Availability: InStock

$0.00

NATISEH Conference 75

PERSONAL DETAILS

Title *

(Prof,Dr,Mr,Mrs,Ms,Miss)

First Name *

Family Name *

Organisation/Community *

Address Line 1 *

Address Line 2

Suburb/Town/City *

State

State Other

Enter the state/details

Country

Post Code *

Work Telephone

Emergency Phone

An emergency contact number (if you have one)

Mobile Phone

Email Address *

Enter Email

Email Address *

Confirm Email

Dietary Requirements

Do not enter Nil or N/A

Special Needs

Do not enter Nil or N/A

Are you of Aboriginal or Torres Strait Islander origin?

REGISTRATION DETAILS

Registration Selection *

Full Registration (All Days)

I wish to attend one or two days only

I wish to book Accommodation/Welcome Function/Dinner Only

Full Registration

Registration Cost $

Day Registration

Registration Cost $

Welcome Function *

I will be attending the Welcome Function

I will NOT be attending the Welcome Function

Will you be attending the Welcome Function which is included in the cost of the Full and Monday Registration?

Conference Dinner *

I will be attending the Conference Dinner

I will NOT be attending the Conference Dinner

Will you be attending the Conference Dinner which is included in the cost of the Full Registration

WEDNESDAY EXCURSION SELECTION

Do you wish to attend an excursion?

Please note:

1st Preference

2nd Preference

3rd Preference

ACCOMMODATION

Book Yes/No *

Please note:
All accommodation is fully booked. Please contact CMS on 0412 049760 and we will check the hotel availability in case one of the hotels has had a cancellation.

Hotel

Terms and Conditions?

Do you agree to the accommodation terms and conditions?

Arrival Date

Click on month/year to change

Departure Date

Click on month/year to change

No. Nights

No. of people

How many people will sleep in this room?

Room Type

Price Per Night $

Hotel Total $

EXTRA FUNCTION TICKETS

Book Extra Tickets?

EXTRA WELCOME FUNCTION TICKET(S)

Please note: The Welcome Function is included in the cost of Full Registration. Only select extra tickets if you are bringing a guest(s) to this function.

Welcome Function Tickets(s)

Qty

Welcome Function Total $

EXTRA DINNER TICKET(S)

Please note: The Conference dinner is included in the cost of Full Registration. Only select extra tickets if you are bringing a guest(s) to the dinner.

Dinner Ticket(s)

Qty *

Dinner Total $

PAYMENT and T&Cs

Purchase Order No.

Terms and Conditions

Do you agree to Conference Terms and Conditions?

I wish to pay via:

If you are human, leave this field blank.

Category: Uncategorized

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