Registration Form

Registration Form

Australian Opal Exhibition, PO Box 731, Lightning Ridge NSW 2834, Australia
Wednesday 6 & Thursday 7 August 2025

Southport Sharks
Please complete the following form, deposit directly to our bank account - BSB 124 064 Account No. 20167128 noting your name(s) in the description line or mail a cheque. We will email you a tax invoice/receipt.

Every visitor to the Australian Opal Exhibition will automatically be entered in the 2025 raffle for a chance to win three night's accommodation at the 2026 Exhibition.

All visitors must be associated with the opal, gem, jewellery or allied industries.
Name*

First NameLast Name
Company
Address

PO Box/Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Country CodeArea CodePhone Number
E-mail*
Identification - Drivers Licence/Passport No*
Colleague's name

First NameLast Name
Identification - Drivers Licence/Passport No
Number of people registering
$25 per person - Includes one free raffle ticket
Exhibition Dinner Aviary Rooftop Bar - number of tickets
$65 per person, food only drinks not included
TOTAL AMOUNT AUD$
Add registration and exhibition dinner - mail cheque or direct deposit to our BOQ bank account - details at top of form.
ABN 33 944 871 718
Should be Empty:

Wednesday 6 & Thursday 7 August 2025