MSSA Registration

Welcome to the MSSA Annual Conference 2019 Registration Form

Registration Type

Individual

Group 1 - 30

I am not attending

Contact Person

Contact Details

First Name:

Last Name:

Title:

Organisation:

Position:

Email Address:

Telephone Number:

Mobile Number:

City:

State:

Country:

Postal / ZIP code:

Group Members

Group Size

Contact Details

Title:

First Name:

Surname:

Organisation:

Position:

Telephone Number:

Mobile Number:

Email Address:

Dietary Requirements:

If "Other", please specify:

Disability Access:

Billing Details

Title:

First Name:

Surname:

Organisation:

Telephone Number:

Email Address:

Address:

City:

State:

Country:

Postal / ZIP code:

VAT Number:

Privacy:

I grant the organising committee permission to supply my contact details to the exhibitors and sponsors represented at the conference

Opt Out

Ice Breaker / Meet & Greet

Date: Mon, Dec 2, 2019 Time: 5:30 PM - 9:00 PM

Attending (Full Conference Delegates Only) FULL

Not Attending

Additional Ticket FULL

250.00

Student Evening

Date: Tue, Dec 3, 2019 Time: 7:00 PM - 11:00 PM

Attending (Full Conference Delegates Only) FULL

Not Attending

Additional Tickets FULL

Gala Dinner

Date: Wed, Dec 4, 2019 Time: 7:00 PM - 12:00 AM

Attending (Full Conference Delegates Only) FULL

Not Attending

Additional Tickets FULL

425.00