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This online form is for one delegate, should you wish to register multiple people please complete this form, payment and then return.
All fields marked by an asterix (*) must be completed.
Delegate's badge details:
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* Name
(as you wish for it to appear on your badge) |
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Company institution or band
(you wish for it to appear on your badge) |
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Title (to appear on badge)
ie, artist, composer, producer, A&R... |
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Registration details: |
| * Your first name: |
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| * Your last name: |
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| Company, institution or band: |
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| * Address: |
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| * City or suburb: |
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| * State: |
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| * Postcode: |
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| * Country: |
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| * Phone: |
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| Mobile: |
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| * Email: |
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URL of your website:
(including http://) |
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AAM membership number
(if applicable). |
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APRA membership number
(if applicable). |
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Music Managers' Forum (MMF) membership number (if applicable).
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| * I give permission for my contact details to be published on this site for networking purposes. |
Yes No
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| By ticking the box above, you agree to have your contact details available only to other registrants for the conference for private networking in advance of the event, during it and afterwards. This is not to be used for broadcast emailing and we won't pass your details on to any other parties. |
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* Number of day(s) attending:
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* Which days will you be attending?
(please carefully select only one option) |
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REGISTRATION RULES: Cancellations will incur a $110 processing fee prior to June 30. We can not accept cancellations from July 1. Registration may be transferred in writing by July 30 for a fee of $110. We can not accept transfers from July 31.
By hitting the submit button you agree to the Terms and Conditions as outlined below:
IMMEDIA! Pty Ltd, at its sole discretion, may cancel or refuse registration from any individual or company at any time. Producers have the right to eject any participants whose behaviour is deemed to be disruptive to other attendees. Admission is by laminate badge in combination with wristband and must be visibly worn at all times. I also understand that due to scheduling conflicts or other reasons, producers may change speakers, topics or timing of sessions. By proceeding wtih this transaction online I agree to all registration rules.
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* By ticking this box I agree to the Terms & Conditions above.
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(This box must be ticked to proceed)
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For inquires or difficulties with this registration form please call (02) 9557 7766 or email info @ immedia.com.au
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