First name
Last name
Email
Mobile
1.
What is your organisation?
2.
What is the title of your proposed event?
3.
Please briefly describe the event (150 words or less)
4.
What is your preferred time slot?
Please select
Monday 30 November - 10:00 - 11:15
Monday 30 November - 11:30 - 12:45
Monday 30 November - 13:00 - 14:40
Monday 30 November - 15:00 - 16:15
Monday 30 November - 16:30 - 18:00
Tuesday 1 December - 10:00 - 11:15
Tuesday 1 December - 11:30 - 12:45
Tuesday 1 December - 13:00 - 14:40
Tuesday 1 December - 15:00 - 16:15
Tuesday 1 December - 16:30 - 18:00
Wednesday 2 December - 10:00 - 11:15
Wednesday 2 December - 11:30 - 12:45
Wednesday 2 December - 13:00 - 14:40
Wednesday 2 December - 15:00 - 16:15
Wednesday 2 December - 16:30 - 18:00
Thursday 3 December - 10:00 - 11:15
Thursday 3 December - 11:30 - 12:45
Thursday 3 December - 13:00 - 14:40
Thursday 3 December - 15:00 - 16:15
Thursday 3 December - 16:30 - 18:00
Friday 4 December - 10:00 - 11:15
Friday 4 December - 11:30 - 12:45
Friday 4 December - 13:00 - 14:40
Friday 4 December - 15:00 - 16:15
Friday 4 December - 16:30 - 18:00
5.
If your preferred time is not available, what is your second choice?
Please select
Monday 30 November - 10:00 - 11:15
Monday 30 November - 11:30 - 12:45
Monday 30 November - 13:00 - 14:40
Monday 30 November - 15:00 - 16:15
Monday 30 November - 16:30 - 18:00
Tuesday 1 December - 10:00 - 11:15
Tuesday 1 December - 11:30 - 12:45
Tuesday 1 December - 13:00 - 14:40
Tuesday 1 December - 15:00 - 16:15
Tuesday 1 December - 16:30 - 18:00
Wednesday 2 December - 10:00 - 11:15
Wednesday 2 December - 11:30 - 12:45
Wednesday 2 December - 13:00 - 14:40
Wednesday 2 December - 15:00 - 16:15
Wednesday 2 December - 16:30 - 18:00
Thursday 3 December - 10:00 - 11:15
Thursday 3 December - 11:30 - 12:45
Thursday 3 December - 13:00 - 14:40
Thursday 3 December - 15:00 - 16:15
Thursday 3 December - 16:30 - 18:00
Friday 4 December - 10:00 - 11:15
Friday 4 December - 11:30 - 12:45
Friday 4 December - 13:00 - 14:40
Friday 4 December - 15:00 - 16:15
Friday 4 December - 16:30 - 18:00
6.
Do you require microphones for your event? (Understanding that this carries a cost of approximately $935 per session)
Please select
Yes
No