Hit enter to search or ESC to close

Road pricing reform in Australia | Online | Tuesday 5 Dec 2023

Group Registration

Registration contact person

Contact Name

Organisation

Email

Contact phone

My organisation is an AITPM Partner or Sponsor:

Please apply complimentary tickets for this registration, if applicable

Please apply any applicable complimentary tickets and then apply the event discounts for the remainder

Please only apply any event discount, if applicable, not complimentary tickets

Please do not use any of our discounts on this registration

(Not a Partner or Sponsor)

Please confirm that you are authorised by your organisation

I confirm that I am authorised by my organisation to utilise complimentary tickets

Any organiser comments regarding ticket allocation

Attendees

How many delegates are you registering?

If you are registering more than 6 people, please download the following excel spreadsheet, complete the details required for each delegate, and email to registrations@aitpm.com.au

DOWNLOAD EXCEL GROUP REGISTRATION SPREADHSEET FOR 6+ DELEGATES

Otherwise, please complete the details below. If you are registering yourself, please also include your details below.

Delegate 1 First Name

Delegate 1 Last Name

Delegate 1 Email

Delegate 1 State

Dietary Requirements (for in person events only)

Do you require any assistance or assistive devices to access and enjoy our event? (for in person events only)

Delegate 2 First Name

Delegate 2 Last Name

Delegate 2 Email

Delegate 2 State

Dietary Requirements (for in person events only)

Do you require any assistance or assistive devices to access and enjoy our event? (for in person events only)

Delegate 3 First Name

Delegate 3 Last Name

Delegate 3 Email

Delegate 3 State

Dietary Requirements (for in person events only)

Do you require any assistance or assistive devices to access and enjoy our event? (for in person events only)

Delegate 4 First Name

Delegate 4 Last Name

Delegate 4 Email

Delegate 4 State

Dietary Requirements (for in person events only)

Do you require any assistance or assistive devices to access and enjoy our event? (for in person events only)

Delegate 5 First Name

Delegate 5 Last Name

Delegate 5 Email

Delegate 5 State

Dietary Requirements (for in person events only)

Do you require any assistance or assistive devices to access and enjoy our event? (for in person events only)

Delegate 6 First Name

Delegate 6 Last Name

Delegate 6 Email

Delegate 6 State

Dietary Requirements (for in person events only)

Do you require any assistance or assistive devices to access and enjoy our event? (for in person events only)

As the registration coordinator, I acknowledge that I am responsible for ensuring that the parties in this group are aware of the following health requirements. I confirm that if I or any of the parties that I have registered are feeling unwell, have any symptoms or have associated with anyone with any symptoms of COVID 19, that they will not attend. I confirm that we will abide by the relevant health requirements of the State and venue, including mask usage as required.

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

Email address