25 - 29 October 2021
Wise Water Ways Workshop

Expression of Interest

A. PARTICIPANT
Name *
Position *
Organisation *
Address
Suburb
State & Postcode
Mobile *
Email *
Dietary Requirements
B. REGISTRATION FEES (not required)
Full Workshop Fee - TBA	(includes all morning teas, lunches, dinners and an annual subscription to RBMS)
RBMS Members - TBA	(for members of the River Basin Management Society (RBMS) only)
C. ACCOMMODATION at George Kerferd Hotel, Beechworth (not required)
Hotel Double Room - TBA	No. of night Total
Hotel King Room - TBA	No. of night Total
Linaker Queen (art deco inspired suite) TBA	No. of night Total
Linaker Single Twin Share TBA	No. of night Total
Sharing with:
Dates	Check in date (day/month/year) Check out date (day/month/year)
D. PAYMENT DETAILS (not required)
Method of Payment	Cheque EFT (Further details will be provided upon submission of form)
Invoice Details	Purchase Order No. Billing Address

Full refund less 20% if advised 5 days prior to the Workshop.