2017 LGA Conference and AGM - Non LGA Members Registration Form2017 LGA Conference and AGM - Non LGA Members Registration FormPrint Wednesday 15 and Thursday 16 November at Adelaide Oval * Mandatory Field Delegate Details Organisation Postal Address Delegate Title* Please select your title Mr Mrs Ms Miss Dr Delegate First Name* Delegate Surname* Post nominals Delegate Position* Eg CEO, Finance Manager etc Delegate Special Requirements (eg dietary or other) Email* Contact for person completing the online form Phone Number* Your Contact Details I give permission for my contact details to be provided to the event sponsors This event can only take place with the help of our sponsors - by selecting this box you are giving your permission for your contact details to be shared with our sponsors. Registration Options Day 1 Pass (Wednesday) - $470 + GST* Yes No Day 2 Pass (Thursday) - $260 + GST* Yes No Dinner Pass (Wednesday evening) - $220 + GST* Yes No Payment and Cancellation Policy Payment An invoice will be sent to your Organisation after the event for payment. Cancellation Policy If a person registered to attend this event is unable to do so, /Organsiations are encouraged to notify the LGA and send a substitute. All cancellations must be received in writing / email at least 5 days prior to the conduct of the event, otherwise payment will be retained to cover costs which the LGA incurs following the cancellation date. I have read and understand the cancellation policy* If you see this, leave this form field blank. Email Submitted Data Send a copy of the submitted form to this email address.