2019 ASCCA Conference - Online Registration

Event
Event Dates
First Name*
Last Name*
Address*
Suburb*
State*
Postcode*
E-mail:*
Phone (incl area code)*
Days Attending*
Registration Type (Inc GST)*
ASCCA Club (If Applicable)
Seniors Card Number (Only required if you are not an ASCCA club member)
Special Requirements (Including special dietary requirements)
Method of Payment (This helps us to match your payment with your registration)*
Conference Refund Policy: Refunds requested before 4pm on 1st November will attract an administration cost of $25. No refunds will be given after 1st November. Full refunds will only be given in exceptional circumstances.*