AIMIA Award Winner Secrets Award Winner Emergency Relief Provider Forum and Training Events 2010

Conference Online Headquarters - Gold Coast Qld.

TollFree: 1800 000 588 | Phone: +61 7 5580 8677 | info@conferenceonline.com.au
Suite 19, Second Floor, 201 Varsity Parade Varsity Lakes Queensland 4227
Event Details Form
Enter the details of your event, then submit this form. The details submitted will be used to setup your event . We will contact you once we have set up a draft of your event to confirm details.
NOTE: If you are unable to complete some of the details on the form we will collect them from you when we call.
Company Details/Contact Person (Organiser of Event)
Company Name*
Company Business Number
Company Address*
(for invoices)
City*
State Zip/Postcode
Contact Person *
Position
Phone* - Fax  - 
Email*
Company Website
Event Details
Event Name*
Date Start*    Date End*
Times of Event to
Short Summary*
(approx 3 lines)
Description / Details
Event Venue
Registrations
Max number Registrants NOTE: ALL Prices to include TAX if applicable
Registrant Costs
Type Cost (AUD$) Earlybird (AUD$)
Registration Cutoff(Last Day)*
Early Bird Cutoff
(Last Day)
Workshops Details
Name Date Cost (AUD$)
Social Event Details
Name Date Cost (AUD$)
   
Costs and Payments
Deposits Permitted Yes No    Amount (AUD$) Amount (%)
Credit Card Pmts Yes No   
Cheque Pmts Yes No    (If Yes then supply details below)
 

Cheque made to name:                
Cheque send to address:

Direct Deposit Pmts
 Yes No
Extras/Options Required on Registration Form
Accommodation
Yes No
(List Accommodation venues in Special Requirements below)
Flights
Yes No
Transfers
Yes No
Tours
Yes No
Extra Data Required

 Yes No (eg M/ship Number, Shirt size etc)
Special Requirements
(eg Accommodation Venues)
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Submit Form
 

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