IAG25 Delegate Registration Form

PRIVACY STATEMENT

In registering for this conference, relevant details will be incorporated into a delegate list. These details may be made available to parties directly related to the conference including East Coast Conferences, Institute of Australian Geographer's, venues, accommodation providers (for the purposes of room bookings), key sponsors, exhibitors and parties associated with the conference. By completing this registration form, you acknowledge that the details supplied by you may be used for the above purposes. You will have the opportunity in the next section of this form to opt-out of having your details included on the list of attendees that will be provided to sponsors and / or exhibitors.

Data Processing Consent

I give consent to the Privacy Statement

Contact Details

Title (eg Dr, Prof etc)

Preferred Pronouns

First Name

Last Name

Position

Organisation

Email Address

Verify Email Address

Daytime Phone Number

Mobile Number

Primary Address

Address Line 1

City / Town / Suburb

Country

State

Postcode

Billing Address (only if different from address already listed - complete all fields)

Billing First Name

Billing Last Name

Billing Organisation

Billing Address Line 1

Billing Address City / Town / Suburb

Billing Address Country

Billing Address State

Billing Address Line Postcode

Billing Address Email (only if different from above)

Dietary / Special Requirements (if applicable)

Dietary Requirements

Preferred name for Name Badge (only complete if different from entered above)

Preferred First Name

Preferred Last Name

Welcome Drinks

Tuesday 1st July (included in full registration fee)

Yes, I will be attending the Welcome Drinks

No, I will not be attending the Welcome Drinks

Additional Ticket (Partner / Guest / Day Delegate)

AMOUNT

25.00

TOTAL

Data Processing Consent

Contact Details

Primary Address

Billing Address (only if different from address already listed - complete all fields)

Dietary / Special Requirements (if applicable)

Preferred name for Name Badge (only complete if different from entered above)

Opt-out here if you do not wish to be included on the delegate list.

Are you a current member of IAG?

Are you attending the full conference?

Are you a full-time student?

Full Registrations

Day Registrations

Day Registrations

Optional Days

Postgraduate Student Day

Study Group Day

Social Functions

Welcome Drinks

Summary

Terms and Conditions

Payment

Thankyou for registering for IAG25. A confirmation email and tax invoice will be sent to you within 15 minutes. Please check your junk email folder if not received.