AGPN National Forum 2010

Welcome to the online registration site. Please enter in all of the required details of the attendee. The email address MUST be that of the attendee and no other. If you would like all correspondance to go to an additional email please contact Nicole Shepherd at AGPN. If you wish to record another email address for billing purposes, please enter this in the billing email field.

Costs

All costs are GST inclusive Leadership Workshop, Monday 1 and Tuesday 2 November (closed AGPN Network Member Workshop) - $495.00 One day delegate - $400.00 Leadership Workshop, Monday 1 and Tuesday 2 November (closed AGPN Network Member Workshop) - $495.00 One day delegate - $400.00 Four day member standard - $950.00 Three day member standard - $850.00 Three day non-member standard - $1,100.00 Four day registrations: Wednesday 3 to Saturday 6 November (includes closed AGPN Network Member Meeting for Chairs/Chief Executive Officers) Three day registrations: Thursday 4 to Saturday 6 November Please note - all three and four day registrations include a ticket to the welcome reception and gala dinner. Please enter your details below. Please note, the name and organisation you enter will be used for your name tag. Title First Name Last Name Position Organisation Address Line 1 Address Line 2 City State Postcode Country Work Phone Mobile Phone Email Address Billing Address Email Address Emergency contact name Emergency contact number

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