Coffee Club YP Social Event | SA | Jun-21 MULTIPLE REGISTRATIONS

You can register up to 15 attendees below. If you need to register more than 15, please submit this form again once you have completed your registration.

PLEASE NOTE: If you are an AITPM member, the member discount will be applied to the first attendee. If you need to register multiple AITPM members they will need to be registered separately, by each logging in and registering themselves individually. If that is not possible, please email Karen Hooper to request assistance to register your group.

I have a promotion code for a Corporate Subscription, Local Government Subscriber or Sponsor Discount Code

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Dietary Requirements

I confirm that if I am feeling unwell, have any symptoms or have associated with anyone with any symptoms of COVID 19, that I will not attend.

I agreePlease ensure that you meet the Government heath guidelines, and if you feel unwell on the day of the event please do not attend in person.

I need to add another attendee

Attendee 2

First Name

Last Name

Organisation

Mobile

State/Territory

Dietary Requirements

I confirm that if I am feeling unwell, have any symptoms or have associated with anyone with any symptoms of COVID 19, that I will not attend.

I agreePlease ensure that you meet the Government heath guidelines, and if you feel unwell on the day of the event please do not attend in person.

I need to add another attendee

Attendee 3

First Name

Last Name

Organisation

Mobile

State/Territory

Dietary Requirements

I confirm that if I am feeling unwell, have any symptoms or have associated with anyone with any symptoms of COVID 19, that I will not attend.

I agreePlease ensure that you meet the Government heath guidelines, and if you feel unwell on the day of the event please do not attend in person.

I need to add another attendee

Attendee 4

First Name

Last Name

Organisation

Mobile

State/Territory

Dietary Requirements

I confirm that if I am feeling unwell, have any symptoms or have associated with anyone with any symptoms of COVID 19, that I will not attend.

I agreePlease ensure that you meet the Government heath guidelines, and if you feel unwell on the day of the event please do not attend in person.

I need to add another attendee

Attendee 5

First Name

Last Name

Organisation

Mobile

State/Territory

Dietary Requirements

I confirm that if I am feeling unwell, have any symptoms or have associated with anyone with any symptoms of COVID 19, that I will not attend.

I agreePlease ensure that you meet the Government heath guidelines, and if you feel unwell on the day of the event please do not attend in person.

I need to add another attendee

Attendee 6

First Name

Last Name

Organisation

Mobile

State/Territory

Dietary Requirements

I confirm that if I am feeling unwell, have any symptoms or have associated with anyone with any symptoms of COVID 19, that I will not attend.

I agreePlease ensure that you meet the Government heath guidelines, and if you feel unwell on the day of the event please do not attend in person.

I need to add another attendee

Attendee 7

First Name

Last Name

Organisation

Mobile

State/Territory

Dietary Requirements

I confirm that if I am feeling unwell, have any symptoms or have associated with anyone with any symptoms of COVID 19, that I will not attend.

I agreePlease ensure that you meet the Government heath guidelines, and if you feel unwell on the day of the event please do not attend in person.

I need to add another attendee

Attendee 8

First Name

Last Name

Organisation

Mobile

State/Territory

Dietary Requirements

I confirm that if I am feeling unwell, have any symptoms or have associated with anyone with any symptoms of COVID 19, that I will not attend.

I agreePlease ensure that you meet the Government heath guidelines, and if you feel unwell on the day of the event please do not attend in person.

I need to add another attendee

Attendee 9

First Name

Last Name

Organisation

Mobile

State/Territory

I confirm that if I am feeling unwell, have any symptoms or have associated with anyone with any symptoms of COVID 19, that I will not attend.

I agreePlease ensure that you meet the Government heath guidelines, and if you feel unwell on the day of the event please do not attend in person.

I need to add another attendee

Attendee 10

First Name

Last Name

Organisation

Mobile

State/Territory

Dietary Requirements

I confirm that if I am feeling unwell, have any symptoms or have associated with anyone with any symptoms of COVID 19, that I will not attend.

I agreePlease ensure that you meet the Government heath guidelines, and if you feel unwell on the day of the event please do not attend in person.

I need to add another attendee

Are you a member? Please ensure that you have logged in before registering to get the Member discounted rate.

Coffee Club YP Social Event | SA | Non Members & Multiple registrations