U3A Network Qld State Conference

U3A Network Queensland State Conference


Break out of your Shell

U3A Network Queensland State Conference


U3A Network Qld State Conference Break out of your Shell

Conference Registration

Registrations close at midnight on Saturday 4th 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 Bundaberg Inc.
  PO Box 2258
, Bundaberg 4670
  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:
Your U3A: 
Executive position held (if applicable): 
Please select your desired conference option. Full Conference and Dinner Only packages close on Saturday 4th May:
*   Full Conference Package, $145 (includes refreshments, lunches and Conference Dinner)
Conference only, $100 (includes refreshments and lunches but excludes Conference Dinner)
Dinner only, $50
No Registration
Optional Excursions/Activities:
  Welcome Function Wednesday 15th May 6.30-8.00pm at Cane Cutters Kitchen, Sugar Country Motor Inn, 220 Bourbong St.
  Bus Trip to Bundaberg Rum Distillery, Wednesday 15th May 9.30am-4.00pm ($30 payable with registration fee)
  River Walk and Breakfast Friday 17th May at River Cruz Cafe. Meet 7.30am at Alexandra Park rotunda.
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 1 (Mind the Art)
Workshop 2 (Mon Repos talk)
None
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 Saturday 4th 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.