Registration Form

Title

 
   

Name*

First Name

Last Name

   
   

Position

Organisation

   
   

Address*

 
 
   
     
   

Suburb

State

Postcode

 

Phone*

   
   

Email*

 
   
   

Dietary Requirements/Allergies

 
 
   
   

Conference Registration

Please note, most registrations include attendance to the Icebreaker and Dinner. Registrations do not include Accommodation.
Discounted Early Bird Registration
Standard Registration (for registrations after 18 August 2017)
Student - $350 (includes dinner)
One Day Only Registration

Additional booth attendees/dinner guest names (if applicable)

 

Additional Conference Events

Short Course: Epithermal Au-Ag and Porphyry Cu-Au Exploration - Greg Corbett (4th-5th September)
Discoveries in the Tasmanides Field Trip (6th September)
All prices include GST.
Discoveries in the Tasmanides Wine Tour (9th September)
All prices include GST.

Payment Method*

 
Credit Card
 
 
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.

Please note that the Orange Ex Services Club requires that you sign in each day with id, please bring something suitable with you.

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