Current Details Conference Dinners Extras Summary Please complete this form to register for the conference. Membership status Are you a member of ICPA? Yes No Attendance type Will you be attending as an individual, school or business/organisation/government department? Individual School Business / Organisation / Government Department IMPORTANT: Please submit this form separately for EACH person attending the conference. Organisation Position title First name Last name Email address Branch Membership Details Which branch are you a member of in NSW? - Select -BalranaldBoomiBourkeBrewarrinaBroken HillCentral West PlainsCollarenebri - MungindiCondobolinCorinellaGoolgowiHayHillstonLightning Ridge - GoodoogaLord Howe IslandLouthMonaroMoreeNamoiNorth West SlopesNSW/VIC Lone MembersNynganQuambone DistrictRankins SpringsTibooburra - MilparinkaVermont HillWalgettWentworth State councillor Are you a state councillor? Yes No Additional person Additional Person As a member of ICPA, an additional person in your household (e.g. your partner) has reciprocal privileges, such as voting rights as a delegate at the conference. They are also welcome to attend the social events during the conference. Will they be attending the conference with you? Yes No Additional first name Additional surname SMS number SMS Communications We may need to send you a text message during the conference. What is your mobile number?
