Members - Individual Delegate Registration Form

INDIVIDUAL DELEGATE REGISTRATION FORM

INSTRUCTIONS

If you are registering as an individual delegate, please complete the form below and hit SUBMIT.

MEMBER STORE - DETAILS

Store Name *

Member ID *

e.g. If your Member ID is NSW123 please write MEM123

State *

DELEGATE - DETAILS

First Name *

This name will be used on the Conference Badge

Last Name *

Contact Number *

Please provide a number we can use to contact you during the Conference if needed

Email *

Confirm Email Address *

Dietary Requirements *

Include me in the Attendee List that will be available on the Conference App

DELEGATE - ATTENDANCE

For catering and seating purposes please select either yes or no to the sessions and functions you will be attending. Please note the morning meetings on Day 1 are optional.

DAY 1 - Tuesday 5 May

9:00AM - 10:00AM: H Hardware Branded Meeting * *

Yes

9:00AM - 10:00AM: Rural Meeting * *

Yes

10:00AM - 11:00AM: Timber Meeting * *

Yes

10:00AM - 12:00PM: ITT Meeting * *

Yes

11:00AM - 12:00PM: Hardware Meeting

Yes

4:45PM - 9:30PM: Conference Open & Welcome Function * *

Yes

DAY 2 - Wednesday 6 May

All Day: Conference Plenary Sessions * *

Yes

DAY 3 - Thursday 7 May

7:30AM - 3:30PM - Trade Show * *

Yes

6:30PM - 11:30PM: Gala Dinner * *

Yes

IF YOU NEED HELP...

After clicking SUBMIT below please contact Ashlin, Kristen or Kerrie at events@hbt.net.au or call us on

02 4472 1515

Submit

REGISTRATION COMPLETE