APLEC Conference | 21-22 November 2024
NEXT GEN LAW
Registration Form
ORGANISATION
Organisation
Address
City
State
Postcode
Country
CONFERENCE ATTENDEES
Conference Location
Leo Cussen Centre for Law
Level 16, 15 William Street
Melbourne 3000 VIC
$485 (incl. GST)
Early-Bird Rate
Register before 31 October 2024
$535 (incl. GST)
Standard Rate
Title
Please select...
Mr.
Mrs.
Ms.
Miss
Dr.
Prof.
Other
Other Title
First Name
Last Name
Position Title
Email
Mobile
Will you require lunch on 21 November (provided between 12:30 pm and 1:30pm)?
Yes
No
Will you be attending the
Conference Dinner
(included in conference fee)?
Yes
No
Dietary Requirement
Vegetarian
Vegan
Gluten Free
Attendee
Early-Bird Rate:
ADDITIONAL GUESTS FOR CONFERENCE DINNER
Conference Dinner Venue
Pure South Dining
GR2 River Level, Southgate Building
3 Southgate Avenue,
Southbank, Melbourne 3006
Would you like to add additional guests for the
conference dinner
? $150 (incl. GST) per guest.
Yes
No
Title
Please select...
Mr.
Mrs.
Ms.
Miss
Dr.
Prof.
Other
Other Title
First Name
Last Name
Dietary Requirement
Vegetarian
Vegan
Gluten Free
Conference Dinner Guest
Conference Dinner:
CONFERENCE FEE
$485 (incl. GST)
Early-Bird Rate
Register before 31 October 2024
$535 (incl. GST)
Standard Rate
$150 (incl. GST) per
additional guest
for
conference dinner
Payment Information
Conference Attendees:
Additional Guests for Conference Dinner
Conference Dinner
Conference Fees
Total Payment: $
First Name
Last Name
Name on Card
Billing Email
Card Number
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YY
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*
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