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 (Please note, there is only one free registration per sponsor)

Additional booth attendees*

Please enter additional booth atendees name

Additional dinner guest names*

Please enter additional dinner guest names

Additional Conference Events

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)
Click here to register your Student Poster

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