| Organisation* |
|
| Postal Address* |
|
| Phone (landline or mobile)* |
|
| Email confirmation to* |
|
| Email invoice to |
|
| Purchase order number |
|
| Does this organisation wish to enter a water sample in the WIOG/IXOM Water Taste Test? Ask us for details
|
yes
no |
| Does this organisation wish to register a team of two for the WIOG/Hynds National Water Live Tapping Competition?* As the teams will be limited this will be a first come first serve basis.
|
yes
no |
|
|
Registration for the full conference
entitles you to receive a conference package, attend all papers, morning teas, lunches and afternoon teas, and pre dinner drinks.
Registration for One day only
entitles you to attend the papers that day, and morning tea, lunch and afternoon tea.
The Meet the Suppliers Dinner and Conference/Awards Dinner are additional costs |
| Name (Primary Contact Person)*
|
|
| Is this person registering for the Conference?* |
Yes, and this person is a member ($220 + GST)
Yes, and this person is not a member ($295 + GST)
This person is registering for Wednesday only ($130 + GST)
This person is registering for Thursday only ($130 + GST)
No, this person is only going to dinner(s)
|
| Is this person attending the Meet the Suppliers Dinner (Wednesday 20 May - $120 + GST)?*
|
yes
no |
| Is this person attending the Conference & Awards Dinner (Thursday 21 May - $120 + GST)?
|
yes
no |
| Is this person going on the Waste Water Treatment Plant tour (Friday 22 May - free of charge)?*
|
yes
no |
| Is this person going on the Water Treatment Plant Tour (Friday 22 May - free of charge)?
|
yes
no |
|
|
| Name 2 |
|
| Is this person registering for the Conference? |
Yes, and this person is a member ($220 + GST)
Yes, and this person is not a member ($295 + GST)
This person is registering for Wednesday only ($130 + GST)
This person is registering for Thursday only ($130 + GST)
No, this person is only going to dinner(s)
|
| Is this person attending the Meet the Suppliers Dinner (Wednesday 20 May - $120 + GST)?
|
yes
no |
| Is this person attending the Conference & Awards Dinner (Thursday 21 May - $120 + GST)?
|
yes
no |
| Is this person going on the Waste Water Treatment Plant tour (Friday 22 May - free of charge)?
|
yes
no |
| Is this person going on the Water Treatment Plant Tour (Friday 22 May - free of charge)?
|
yes
no |
|
|
| Name 3 |
|
| Is this person registering for the Conference? |
Yes, and this person is a member ($220 + GST)
Yes, and this person is not a member ($295 + GST)
This person is registering for Wednesday only ($130 + GST)
This person is registering for Thursday only ($130 + GST)
No, this person is only going to dinner(s)
|
| Is this person attending the Meet the Suppliers Dinner (Wednesday 20 May - $120 + GST)?
|
yes
no |
| Is this person attending the Conference & Awards Dinner (Thursday 21 May - $120 + GST)?
|
yes
no |
| Is this person going on the Waste Water Treatment Plant tour (Friday 22 May - free of charge)?
|
yes
no |
| Is this person going on the Water Treatment Plant (Friday 22 May - free of charge)?
|
yes
no |
|
|
| Name 4 |
|
| Is this person registering for the Conference? |
Yes, and this person is a member ($220 + GST)
Yes, and this person is not a member ($295 + GST)
This person is registering for Wednesday only ($130 + GST)
This person is registering for Thursday only ($130 + GST)
No, this person is only going to dinner(s)
|
| Is this person attending the Meet the Suppliers Dinner (Wednesday 20 May - $120 + GST)?
|
yes
no |
| Is this person attending the Conference & Awards Dinner (Thursday 21 May - $120 + GST)?
|
yes
no |
| Is this person going on the Waste Water Treatment Plant tour (Friday 22 May - free of charge)?
|
yes
no |
| Is this person going on the Water Treatment Plant Tour (Friday 22 May - free of charge)?
|
yes
no |
|
|
| Name 5 |
|
| Is this person registering for the Conference? |
Yes, and this person is a member ($220 + GST)
Yes, and this person is not a member ($295 + GST)
This person is registering for Wednesday only ($130 + GST)
This person is registering for Thursday only ($130 + GST)
No, this person is only going to dinner(s)
|
| Is this person attending the Meet the Suppliers Dinner (Wednesday 20 May - $120 + GST)?
|
yes
no |
| Is this person attending the Conference & Awards Dinner (Thursday 21 May - $120 + GST)?
|
yes
no |
| Is this person going on the Waste Water Treatment Plant tour (Friday 22 May - free of charge)?
|
yes
no |
| Is this person going on the Water Treatment Plant Tour (Friday 22 May - free of charge)?
|
yes
no |
|
|
Sorry, credits cards cannot be accepted. An invoice, with direct credit details, will be sent upon receipt of this form.
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