Thank you for signing up to join LBG for Community in 2018

* 1. Organisation name

* 2. Website

* 3. Which category does your organisation fit into?

* 4. Name of person completing this registration:

* 5. I hereby confirm that my organisation seeks to become an 'LBG certified community partner' as endorsed by my CEO, and agrees to pay $3,000 plus GST to participate. 

If your corporate partner is sponsoring your participation please click 'agree' and indicate your sponsoring company's name in the next question

* 6. If your corporate partner is sponsoring your participation, please provide the company's name

* 7. Who should we send the invoice to? Please provide name and email if not already provided above

* 8. For the purposes of invoicing, please provide the relevant business address.

* 9. LBG for Community Participant 1's  details

* 10. LBG for Community Participant 2's details

* 11. LBG for Community Participant 3's details