WISA GP Branch Career Day Delegate Registration
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1.
Title
(Required.)
Dr
Prof
Ms
Mr
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2.
First Name
(Required.)
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3.
Surname
(Required.)
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4.
WISA Membership Number (If not a member please type "None")
(Required.)
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5.
Email Address
(Required.)
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6.
Cell Phone number
(Required.)
7.
Dietary Requirements
None
Vegetarian
Vegan
Halal
Kosher
Other (please specify)
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8.
Job Title if applicable
(Required.)
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9.
Company if applicable
(Required.)
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10.
Are you participating as an individual (student, graduate, professional) or on behalf of an organisation (company, government, academic etc.)?
(Required.)
11.
If you are participating on behalf of an organization, would your organization be interested in:
Reserving a table in the networking area
Participating in career development workshops
Participating in a Q&A panel discussion
12.
Terms and Conditions
WISA reserve the right to refuse admission and withhold the awarding of attendance confirmation
A submitted registration form is taken as a firm commitment to attend. In the event of non-attendance, the registered attendee may be held personally liable for payment to the value of the sponsor's subsidized amount.
All cancellations must be received in writing. No telephonic cancellations will be accepted. All cancellations must be received at least 10 working days prior to the event.
I agree to the Terms & Conditions listed above.
