Please complete the following form to register for the Aquafutures Conference 2021:

    Your Details

    I, the below named wish to register to attend the Aquafutures Conference 2021:




    Address:


    Suburb: State:

    This course is designed for Queensland residents. If you live in another state, you can do this course, however you may wish to consider doing it through the Royal Life Saving branch in your state.

    The Conference

    We will hold the conference in four (4) locations on different dates. Please note that there will be differences between each locations (different speakers, different functions, different meals, etc).

    Please select the location you wish to register for:

    Mareeba Location

    Address:

    Date:

    • Day 1:
      Thursday 12 August 2021
      Conference: 9am to 12pm
      Network Function (optional): 2pm to 4pm
    • Day 2:
      Friday 13 August 2021
      Conference: 9am to 4pm
      Dinner (optional): 6pm to 8pm

    Cost: $100.00 (click here to see what this includes)

    Mackay Location

    Address:

    Date:

    • Day 1:
      Friday 20 August 2021
      Conference: 9am to 12pm
      Network Function (optional): 2pm to 4pm
    • Day 2:
      Saturday 21 August 2021
      Conference: 9am to 4pm
      Dinner (optional): 6pm to 8pm

    Cost: $100.00 (click here to see what this includes)

    Longreach Location

    Address:

    • Mossman - street address - google map link

    Date:

    • Day 1:
      Thursday 26 August 2021
      Conference: 9am to 12pm
      Network Function (optional): 2pm to 4pm
    • Day 2:
      Friday 27 August 2021
      Conference: 9am to 4pm
      Dinner (optional): 6pm to 8pm

    Cost: $100.00 (click here to see what this includes)

    Gold Coast (Palm Beach) Location

    Address:

    • Mossman - street address - google map link

    Date:

    • Day 1:
      Thursday 2 September 2021
      Conference: 9am to 12pm
      Network Function (optional): 2pm to 4pm

    • Day 2:
      Friday 3 September 2021
      Conference: 9am to 4pm
      Dinner (optional): 6pm to 8pm

    Cost: $100.00 (click here to see what this includes)

    Payment

    Please enter card details for payment:

    Card Type:
    Cardholder Name:
    Card Number

    Card Expiry Date:
    Month: Year: CVV: (What is a CVV)

    Please enter your Employer's details below:

    Employer name:
    Employer email:
    Employer telephone number:

    Please let your employer know that we will send a Tax Invoice to your employer.


    Messages

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