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Registration for the 2017 Australian Graphite Conference

Registration Fees

$300.00 (including GST) for a one-day registration to the Australian Graphite Conference.

Registration includes the following:

One full conference day
Morning and afternoon tea, and buffet lunch
A delegate satchel with company information
25% discount off a full priced subscription to Australia's Paydirt and Gold Mining Journal

The online registration form may only be used to register ONE delegate at a time. If you would like to register multiple delegates under the one transaction please contact Mel Fogarty on +61 8 9321 0355, or email melita@paydirt.com.au.

You can also download the PDF Registration Form here

No refunds/credits will be given for cancellations made after Friday, 31st March 2017.

Replacement/substitute delegate(s) may however be nominated.

2017 Australian Graphite Conference Delegate Registration Form

Fields marked with an asterix (*) are mandatory.

Delegate Details

Company Name*

Delegate First Name (as to appear on name badge)*

Delegate Last Name*

Delegate Position*

Delegate Phone Number*

Delegate Email Address*

Delegate Address*

City/Suburb*

Region/State*

Postcode*

Country*

How did you hear about the conference?

Graphite Conference/Paydirt Media Email Alert
Australia’s Paydirt/Gold Mining Journal
Newspaper Advert (please specify)
Website Listing (please specify)
Other Conference/Event (please specify)
Internet Search
LinkedIn
Word of Mouth
Other (please specify)

Please Specify*

Please complete the billing details below

If the delegate details and billing details are the same, please tick here

Billing Company Name*

Billing Contact First Name*

Billing Contact Last Name*

Billing Contact Position*

Billing Contact Phone Number*

Billing Contact Email Address*

Billing Address*

City/Suburb*

Region/State*

Postcode*

Country*

Please tick if tax invoice is required to be forwarded to the DELEGATE

Please tick if tax invoice is required to be forwarded to the BILLING CONTACT

For enquiries, please contact:

Mel Fogarty
PO BOX 1589, West Perth, Western Australia 6872
Tel: (+61 8) 9321 0355
Fax: (+61 8) 9321 0426
Email: melita@paydirt.com.au

By submitting your details, you agree to the following conditions:

No refunds/credits will be given for cancellation made after 31 March 2017. Replacement/substitute delegate(s) may however be nominated.
Cancellation/substitution requests must be submitted in writing to the conference coordinator prior to the conference. Cancellation/substitution requests received during/after the conference will not be processed.
As the event is held and hence deemed to be enjoyed in Australia, delegate fees are subject to the Goods and Services Tax (GST).

Further notes:

Please note that once your payment is successfully processed, you will receive two emails: one from our payment gateway eWAY, and one from Paydirt's own system confirming your registration.
If your payment is declined, you will only receive one email from our payment gateway eWAY informing that your payment was declined, and specifying a reason why it was declined. You will not receive any email from Paydirt's own system for failed transaction.
Emails will be forwarded to the billing contact's email address if one is provided. Otherwise they will be forwarded to the delegate's own email address.
Please press the Register now button only once, to prevent double payments.