GippsTech 2018 Conference Registration Form

GippsTech 2018 Registration form

Please only ONE AMATEUR per form

Please be sure to include details of accompanying person/s that will be attending and participating in the Alternate Activity (Partner) Tour Saturday and/or Sunday

Notes:
Conference registration is $38.00 per person attending the main Conference (Lecture) program at Churchill, which includes participation, tea & coffee, BUT NOT lunches or the conference dinner.

For partners or other accompanying persons attending and participating in the Alternate Activity (Also known as the Partner Tour), the cost is $35.00 per person with no food or drinks included - pay your own way with those expenses.
This will help to cover the cost of the bus hire only.

Any clarification required - just ask and we will attempt to clarify the question/s!
Simply click on the boxes to enter your details or to select the option from the drop box.
 
Callsign
Surname
First Name
Email address
Telephone
 
Additional Guests
Name (Non Amateur)
Name (Non Amateur)
Name (Non Amateur)
 
Conference Registration: $38.00 per person
Attending Not Attending
Attending Not Attending
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Attending Not Attending
 
Friday Night Social Gathering: $0.00 per person
Attending Not Attending
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Attending Not Attending
Attending Not Attending
 
Saturday Lunch - Spit Roast: $20.00 per person
Attending Not Attending
Attending Not Attending
Attending Not Attending
Attending Not Attending
Special Dietary Requirements
 
Saturday Conference Dinner: $40.00 per person
Attending Not Attending
Attending Not Attending
Attending Not Attending
Attending Not Attending
 
Sunday Lunch: $15.00 per person
Attending Not Attending
Attending Not Attending
Attending Not Attending
Attending Not Attending
Special Dietary Requirements
 
Saturday Partners Tour: $35.00 per person
Attending Not Attending
Attending Not Attending
Attending Not Attending
Attending Not Attending
 
Sunday Partners Tour: $10.00 per person
Attending Not Attending
Attending Not Attending
Attending Not Attending
Attending Not Attending
 
Grand Total
 
Payment Method