Mines & Wines conference registration

Registration Form

Title

 
   

Name*

First Name

Last Name

   
   

Position

Organisation

   
   

Address*

 
 
   
     
   

Suburb

State

Postcode

 

Phone*

   
   

Email*

 
   
   

Dietary Requirements/Allergies

 
 
   
   

Conference Registration*

Unless specified all conference registrations include dinner. Accommodation is not included.
Please choose a registration type
Early bird registration (before 1 Sept, $780 per person after that)
Student - $150 per person

Speaker registration - $0 per person

Sponsor registration - $0 per person

Additional booth attendees*

Please enter additional booth atendees name

Additional dinner guest names*

Please enter additional dinner guest names

Additional Conference Events

Student poster registration - $0 per person

Name of the institution
Please enter name of institution
Supervisor's name
Please enter supervisor name
Supervisor's contact details
Please enter supervisor contact details
Datamine MapInfo Discover Training - 23rd & 24th September (register here)

Payment Method*

 
Credit Card
 
 
All prices include GST.
Credit Card payments are being processed by BPOINT (Commonwealth Bank) on behalf of the AIG for Mines & Wines.
Tax invoices will be issued by the AIG for Mines & Wines.

For any questions regarding your registration, please contact fiona@makinitezy.com.au