U3A Network Qld State Conference

U3A Network Queensland State Conference


Big things have small beginnings

U3A Network Queensland State Conference


Big things have small beginnings

Conference Registration

Registrations close at midnight on Wednesday 23rd May.

Please complete details below to register for the conference. Upon successful registration you will receive an email describing arrangements for payment of the registration fee. Applicants from outside Australia may arrange to pay their registration fee at the conference if you provide confirmation of travel arrangements.

If you wish to print and mail this form, please send with cheque to:
  U3A Redcliffe Inc.
  PO Box 667
, Redcliffe Qld 4020
  Australia

Fields marked * are mandatory.

First Name:*  
Last Name:*  
Email Address:*  
Repeat Email Address:*  
Address:*  
 
Town or Suburb:*  
State:*  
Country:*  
Postcode:*  
Phone:*  
If you are a member of a U3A, please provide details below:
Name of U3A: 
Executive position held (if applicable): 
Please select your desired conference option. Full Conference and Dinner Only packages close on Thursday 17th May:
*   Full Conference Package, $135 (includes refreshments, lunches and Conference Dinner)
Conference only, $85 (includes refreshments and lunches but excludes Conference Dinner)
Dinner only, $55
Optional Excursions/Activities:
  Welcome Function 6.30-8.00pm Wed 30th May at the conference venue (free of charge).
  Bus Trip to Caboolture Historical Village, Wed 30th May ($30 payable with registration fee)
Please indicate any Special Dietary requirements:
  Diabetic
  Celiac
  Gluten Free
Other Dietary requirement: 
Please select which of the special sessions on Day 2 you will attend:
  Presidents' Council
Workshop
Add any additional information you wish to provide
Additional information: 
Declaration: I understand that conference fee refunds (less any administration costs) will only be possible up to Thursday 17th May and that applications for refunds after that date cannot be accepted.
 
*   I accept these conditions
 
    


              Signed ...................................               Date ....................

Please use a desktop or tablet device to register online, or contact Conference Secretariat via Contact page.