2017 Conference Registration PAID

onPlatinum ICT Annual Conference Registration

Friday 3rd November
Intercontinental Sanctuary Cove Resort
Delegate Registration - $350
Your ticket includes - Full Conference Day, Gala Dinner, 1 Nights Accommodation (twin share) and Breakfast.
Name*

PrefixFirst NameSurname
Company*
Address*

Street Address

Street Address Line 2

CityState

Post Code
Mobile*
Email*
example@onplatinum.com.au
Men's Shirt Size
Women's Shirt Size
Dietary Requirements
Please enter any specific dietary requirements

Please click next at the bottom of the form if you don't wish bring an accompanying person and/or children
Accompanying Person - $250
Ticket includes - Lunch, Gala Dinner, Accommodation and Breakfast
Name

PrefixFirst NameSurname
Dietary Requirements
Please enter any specific dietary requirements
Children's Details
Ticket includes - Lunch and Dinner
- 0-4 years - Free
- 5 -10 years - $35
- 11 years and over - $55
Child's Name

First NameSurname
Age
Dietary Requirements
Please enter any specific dietary requirements
Child's Name

First NameSurname
Age
Dietary Requirements
Please enter any specific dietary requirements
Child's Name

First NameSurname
Age
Dietary Requirements
Please enter any specific dietary requirements

Accommodation Booking
Arrival Date*

DayMonthYear
Arrival Date
Departure Date*

DayMonthYear
Departure Date
Standard conference registration provides twin share accommodation.
I would like to request a single room for $95*

YesNo
Additional Nights
Additional nights accommodation will be subject to availability and confirmation by the hotel. They are charged at $190 per night for single room and $210 per night for a double room including breakfast.
I would like to request additional nights*

YesNo
Family Room
If you are planning on bringing the family with you, a family room may be required. onPlatinum conference team will contact you to advise prices before confirming your booking. Family rooms are subject to availability.
Please contact me about a family room*

YesNo

onPlatinum ICT Annual Conference Registration