REGISTRATION FORM

Simply fill out your details in the form below to register for the Hunter and Central Coast Regional Forum. Registrations close Friday, 14th September 2009.

If you prefer to complete your registration offline, you can download the registration form here.

STEP 1 - ORGANISATION DETAILS

Name of organisation:
Required.
Address:

Required.
Postcode:
Required.
Tel:
Required.
Mobile:
Fax:
Email:
Required.Invalid.

Please indicate if you wish to be included on the participants list for distribution at the conference. Yes No

STEP 2 - FIRST COMMUNITY DELEGATE:

Contact Name:
Title:
Position:
Diet requirements:
Chamber of Commerce
Mainstreet Program
Progress Association
Other
Wednesday $00.00
Thursday $00.00
Accommodation $00.00
Awards Dinner $50.00

ACCOMMODATION : One motel room is provided free of charge for each community/program. Please indicate here your Community’s nominated delegates details. Your accommodation will be arranged for you and details forwarded prior the forum. Other members will be required to register below.

STEP 3 - 2nd COMMUNITY DELEGATE:

Contact Name:
Title:
Position:
Diet requirements:
Chamber of Commerce
Mainstreet Program
Progress Association
Other
Wednesday $48.00
Thursday $48.00
Awards Dinner $50.00
Accommodation $90.00

STEP 3 - ECONOMIC DEVELOPMENT PROFESSIONAL:

Economic Development Manager
Economic Development Officer
Project Officers
Other
Wednesday $48.00
Thursday $48.00
Awards Dinner $50.00
Accommodation $90.00
Questions?: