Chemical Diversion Conference 2023 Group Registration

Group Registration

I am not attending

Group Contact

Contact Details

First Name

Last Name

Title

Organisation

Position

Email Address

Verify Email Address

Office Number

Mobile

Primary Address

Address

City

Country

State

Postcode

Group Members

Group Size

Chemical Diversion Conference Registration Form

The Chemical Diversion Conference will be held 12-15 June at the Brisbane Convention and Exhibition Centre.

PLEASE NOTE:

All prices are quoted in Australian Dollars and include 10% GST.
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Please type your full name below as you would like it to appear on your name badge.

Contact Details

Title

First Name

Last Name

Organisation

Position

Email Address

Verify Email Address

Office Number

Mobile Number

Dietary Requirements

Other

Primary Address

Address

City

Country

State

Postcode

Additional Questions

What is the nature of your interest in the subject matter of the conference?

What agency or industry do you represent?

Do you have security clearance? Security clearance is required to access secure sessions on the final day of the conference.

Yes

Registration Type

Please select your registration type below.

Full Registration

Full Registration includes attendance to conference sessions across all three days and attendance to the Welcome Reception and Conference Dinner.

Full Registration FULL

AMOUNT

550.00

TOTAL

Two Day Registration Options

Two Day Registration options include attendance to conference sessions on your selected days and attendance to the Welcome Reception and Conference Dinner.

Two Day Registration - 13-14 June FULL

AMOUNT

440.00

TOTAL

Two Day Registration - 14-15 June FULL

AMOUNT

440.00

TOTAL

Two Day Registration - 13&15 June FULL

AMOUNT

440.00

TOTAL

Single Day Registration Options

Single Day Registrations include attendance to conference sessions on your selected day. This registration type does not include attendance to social functions.

Single Day Registration - 13 June FULL

AMOUNT

165.00

TOTAL

Single Day Registration - 14 June FULL

AMOUNT

165.00

TOTAL

Single Day Registration - 15 June FULL

AMOUNT

165.00

TOTAL

Social Functions

Please indicate your attendance to the Welcome Reception and Conference Dinner below.

Welcome Reception

Mon, Jun 12, 2023 6:00 PM - 8:00 PM

Number Of

Welcome Reception (please tick is attending) FULL

Conference Dinner

Wed, Jun 14, 2023 7:00 PM - 10:00 PM

Number Of

Conference Dinner (please tick if attending) FULL

Summary

Terms and Conditions

I agree to the terms and conditions

Group Registration

Contact Details

Primary Address

Group Members

Chemical Diversion Conference Registration Form

Contact Details

Primary Address

Additional Questions

What is the nature of your interest in the subject matter of the conference?

What agency or industry do you represent?

Do you have security clearance? Security clearance is required to access secure sessions on the final day of the conference.

Registration Type

Full Registration

Two Day Registration Options

Single Day Registration Options

Social Functions

Welcome Reception

Conference Dinner

Summary

Terms and Conditions

Payment

Thank You