21-0321_STW_Statewide Mutual Annual Conference_Wordpress 960x200px4

PUBLIC REGISTRATION FORM

Important Note: If you are not a Statewide Mutual Member please use this form. If you are a Statewide Mutual Member please sign up using this form instead.

CONTACT DETAILS
Name*
First Last
Position*
Organisation*
Email*
Phone*
CONFERENCE
While we welcome non-Members to our conference we do have the right to refuse registrations by any competitors or organisations that fall outside the Local Government sector.
- I agree
Please outline why you are interested in attending the Statewide Mutual Risk Management Conference
Would you like to attend both days of the conference?*
Thursday 26th and Friday 27th August 2021
If not, which day will you be attending?*
WORKSHOPS
Please indicate which Workshop you would like to attend on Day 1, Thursday 26th August:*
- WORKSHOP 1: Climate Change Risks
- WORKSHOP 2: Risk Culture
Please indicate which Workshop you would like to attend on Day 2, Friday 27th August:*
- WORKSHOP 3: Case Studies - Council Events
- WORKSHOP 4: Claims Management
DINNER
Would you like to attend the Conference Dinner?*
Held on Thursday 26th August at The ICC Sydney
DIETARY REQUIREMENTS
Do you have any dietary requirements?*
This will be factored for both the conference catering and the dinner catering.
Please outline any other dietary requirements you have and we will endeavour to address these.*
PAYMENT
The cost to attend the conference is $550 (inc GST) for the 2 day conference and $180 (inc GST) for the dinner.
Invoice options*
Please tick the items to be included in your invoice.
- I will be attending 1 day of the conference ($275 inc GST)
- I will be attending the full 2 days of the conference ($550 inc GST)
- I will be attending the conference dinner ($180 inc GST)
If the invoice details are different from the above please specify:

PUBLIC REGISTRATION FORM

CONTACT DETAILS

CONFERENCE

WORKSHOPS

DINNER

DIETARY REQUIREMENTS

PAYMENT

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