Expression of interest

Wise Water Ways Workshop 28 Oct - 1 Nov, 2019

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 (art deco inspired suite)-TBA	No. of night Total
Linaker twin share (art deco inspired suite) 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

Registration fees due by 12 October 2018. Full refund less 20% if advised 5 days prior to the Workshop.