REGISTRATION FORM
Name
*
First Name
Last Name
Mobile Number
Email address
example@example.com
Your UMA Department
(If Applicable)
Sub-Committee of the UMA Department
(If Applicable)
Your Role in the Department
Are you submitting a Proposal?
*
Yes
No
Please email your proposal once ready to:
info@uma.org.au
Proposals are due on
4 November 2024
Any further Comments or Feedback?
REGISTER
Should be Empty: