Sub-Branch Event Booking Form
Please complete the following details about the upcoming event your sub-branch is holding.
Event details:
Sub-Branch – please select
*
Bundaberg
Cairns
Gladstone
Hervey Bay
Ipswich
Mackay
Rockhampton
Gold Coast
Kingaroy
Sunshine Coast
Toowoomba
Name of event:
*
Date
*
-
Day
-
Month
Year
Cost per person (inc. GST)
*
Please note as Sub-Branches are not registered for GST, ADAQ will pay GST on behalf of the Sub-Branch. ADAQ will transfer the amount collected, minus GST to the Sub-Branches.
Are Members allowed to bring a guest? If so, what is the cost for the guest?
What is included in the cost i.e. dinner/drinks/lecture:
*
Would you like ADAQ to capture: dietary and access requirements?
Dietary requirements
Access requirements
Maximum number of attendees
*
Event start time:
*
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:
Hour
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10
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50
Minutes
Event finish time:
*
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:
Hour
00
10
20
30
40
50
Minutes
Where is the event being held? ie hotel name
address needs to be provided below
Address of the event
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CPD hours to be awarded?
*
address needs to be provided below
What category is your event classified as?
*
Scientific
Non-scientific
Presenter/s name?
*
Presenter/s biography
*
Presenter/s image
Browse Files
Cancel
of
Event synopsis
*
Event contact - name
*
Event contact - phone number
*
Event contact - email address
*
Any other specific information you would like ADAQ to mention in the email?
ADAQ will automatically close event registrations 2 business days prior to the event taking place. A list of registrations including dietary requirements will be supplied to you the same day.
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