1. AAGE MEMBER Online Registration Form

Australian Association of Graduate Employers Ltd (AAGE) ABN 28 003 547 680
2012 AAGE 'Lite' Conference
BHP Billiton, City Square, 125 St Georges Terrace, PERTH
Tuesday 11th December, 2012
9am - 5pm

IMPORTANT: AAGE Conference registrations now require online credit card payment in order to secure your booking. Upon completion of part 1 of this registration process, we will direct you to our online shopping cart, which will ask for your credit card details. Valid cards are VISA, MasterCard, American Express and Diners Club.


*** Please complete a separate online registration form for EACH delegate/guest ***

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* 1. Salutation

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* 2. First Name

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* 3. Surname

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* 4. Job Title

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* 5. Department

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* 6. Organisation name (for invoice purposes)

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* 7. Address

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* 8. City

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* 9. State

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* 10. Post Code

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* 11. Telephone Number

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* 12. Mobile Number

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* 13. Email

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* 14. Gender

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* 15. Special Requirements (e.g. dietary allergies, mobility)

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* 16. Which Industry Category are you representing?

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* 17. Which Industry Sector are you representing?

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* 18. Please suggest any topics or issues that you would like covered during the AAGE 'Lite' Conference

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* 19. Would you like to volunteer to help us run the AAGE 'Lite' Conference? Perhaps facilitating a discussion group or being part of a workshop?

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* 20. Conference Registration

* All prices are plus 10% GST.
(Please note: Full Conference Registration INCLUDES entry to post conference networking drinks)

Please indicate below which elements of the AAGE 'Lite" Conference you would like to book for. Our Shopping Cart (at the end of the survey) will ask you to again make your selection/s.

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