Title:

First Name:

Surname:

Organisation:

Position:

Address Line 1:

Address Line 2:

Suburb:

State:

Country:

Postcode:

Telephone:

Mobile:

Email:

I would be interested in:

Attending the Conference as a delegate No Yes

Will you be bringing a partner with you? No Yes

Will you be bringing any children with you? No Yes

If yes, would you be interested in the Kids Club? No Yes

What is your accommodation preference? Single Twin Share Double Family Room

Submitting a paper No Yes

If yes, please state the Topic Area, followed by a 50-100 word summary of the paper’s contents:

Submitting a Workshop proposal No Yes

If yes, please state the Topic Area, followed by a 50-100 word summary of the workshop proposed:

Please list below any further queries/questions you may have:

Submit