Connecting Women Conference Registration Form with Payment

Connecting Women Business Conference Registration and Payment Form
March 6-10, 2023 - Tambourine Mountain, Queensland

Please remember that places are limited, there are only 28 spots available. Please Book and Pay now to secure your place. (or select Tell me about other options), to secure a place with no payment due today.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Your Business Name
Your Website (if you have one)
Postal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social MediaRadioPodcastEmailWord of MouthOther
What is the main thing that encouraged you to join the Conference?
VegetarianGluten FreeVeganKosherDairy FreeOther
Payments can be made with any major credit or debit card. Or via installments with Procuret.

Credit Card Payment Options

One off Payment

Pay in full by the 15th of November 2022, this gives you the early bird discount of $501.00

$4,999.00AUD

2 x Flexible Payments of

1st Payment Now and the 2nd payment due by the 1st of February 2023 (you will be issued an invoice for the 2nd payment)

$2,750.00AUD

Total

$0.00AUD

Instalment Plan

Options

3, 4 or 6 months*

Take me to the Installment Plan Option
We are so excited that you are joining us for the Connecting Women Business Conference.
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Connecting Women Business Conference Registration and Payment Form