APPLICATION TO ATTEND

Please answer the following questions in order to assist the PSA register your application for the PSA Women's Conference 2017. Please note that your registration is subject to discretion based on overall attendance allocation and the number of applicants per employer/agency/department.
The PSA will endeavour to provide an acknowledgement receipt of your application by email within 3 working days.

* 1. What is your First name?

* 2. What is your Last name?

* 3. Home Details

* 4. I am a

* 5. Work Details
Your work details are required so that the letter requesting your special leave is forwarded directly to your supervisor.

* 6. Your Employer's/ Supervisor's details
The letter will be addressed for the attention of

* 7. Please tick the following boxes

* 8. Will you attend the conference dinner on Tuesday night?

* 9. Will you be flying to Sydney for the Conference? The PSA will book all flights.

* 10. Do you have any dietary requirements?

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