Customer Experience Week at Perth
Kindly fill-up this form to confirm your attendance and details. We look forward to your attendance. Feel free to share this form link to your associates who would like to attend as well!
Name
*
First Name
Last Name
Company Name
*
Email
*
Job title
Phone Number
*
-
Area Code
Phone Number
Kindly indicate arrival preference
*
Monday (AM)
Monday (PM)
Tuesday (AM)
Tuesday (PM)
Wednesday (AM)
Wednesday (PM)
Thursday (AM)
Thursday (PM)
Your dietary preference
*
No preference
Vegetarian
No Pork
Pescatarian
Food Allergies ( Please mention if any)
Would you be bringing your own PPE (Safety boots & glasses)
Yes (full set)
Only safety boots
Only safety glasses
High Vis
Nil
Your safety boot size (answer where necessary)
Are you driving to the event?
*
Yes
No
Submit
Should be Empty: