Registration

By submitting this form you agree to the terms of the cancellation policy set out in the conference information brochure.
All prices quoted are in Australian Dollars and are inclusive of GST.   ALGA ABN: 31 008 613 876

The data in this form is not recorded until the SUBMIT button is pushed. The SUBMIT button is at the bottom of this form. 

NOTE: You will receive a confirmation via email of your registration (which will also be your tax invoice) within seven days from Conference Co-ordinators. 
If you do not receive written confirmation please contact Conference Co-ordinators on +61 (0)2 6292 9000 or via email at nga@confco.com.au.

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Registration Details

NB: special dietary requirements must be submitted 10 working days prior to the event, requirements received after this time cannot be guaranteed

Questionnaire

At future NGA's would you be interested in using a conference app that would contain information such as program, speakers and exhibitor contacts?

Privacy Disclosure

consent to my name appearing in the 2019 NGA List of Participants (name, organisation and state only disclosed).
consent to ALGA disclosing my personal contact information as outlined in the privacy disclosure.

Registration Details

Partner Details

State of the Regions Report - On-line License Purchase

You may purchase either of the following licenses
Single License $260: Single user access to the on-line version
Organisational License $720: Access to the online version for unlimited number of users within a single council, library, educational institution,government department or organisation

Social Functions Included in Fees

One ticket to each of the following functions is included in the full National General Assembly Registration and/or accompanying partners' registration fee. Please confirm if you will be attending by selecting the appropriate boxes. To purchase additional tickets to any of the functions please indicate the number required.

REGISTERED DELEGATES & PARTNERS: WELCOME RECEPTION, SUNDAY 16 JUNE
PARTNERS TOUR: MONDAY 17 JUNE - Cruise to Monet
PARTNERS TOUR: TUESDAY 18 JUNE - Pottery and Wine Experience

Optional Social Functions

Tickets to these functions are not included in the National General Assembly registration fee or accompanying partners' registration fee. To purchase tickets to any of the following functions please indicate the number required

Payment Details

EFT: I have transacted an Electronic Funds Transfer
ALGA Account: Bank: Commonwealth Branch: Woden, ACT BSB No: 062 905 Account No: 10097760
NOTE This account is specifically for conference payments ONLY
CREDIT CARD - NOTE: Cards are not automatically charged, the card will be processed within 7 days.
Visa
MasterCard

Billing Details

If your require a copy of the invoice to be sent to an email address that is different to the one completed under delegate information please complete it below. NOTE: A copy of the invoice/confirmation will also be sent to the email address provided under delegate information.

Accommodation

IF YOU DO NOT REQUIRE AN ACCOMMODATION BOOKING TO BE MADE ON YOUR BEHALF PROCEED TO THE SUBMIT BUTTON AT THE BOTTOM OF THE PAGE

The rates quoted below are per room per night. If you wish for the hotel to settle the account with a credit card of which the delegate is not a signatory, you must provide written authority to the hotel to do so. Please download the credit card authority template form here, and send it to conference@confco.com.au when you have registered.

ROOM TYPE SELECTION
Crowne Plaza Superior Room $325.00 per night **SOLD OUT**    
  Deluxe Room $375.00 per night **SOLD OUT**    
Avenue Hotel Superior King $280.00 per night Single Twin Double
  1 Bedroom Apt $330.00 per night Single N/A Twin Double
Waldorf Apartments Studio Apt $210.00 per night **SOLD OUT**    
  1 Bedroom Apt $230.00 per night **SOLD OUT**    
Adina Apartments James Court 1 Bedroom Apt $225.00 per night Single Twin Double
  2 Bedroom Apt $299.00 per night Queen/Queen Queen/2 Singles
QT Canberra Standard Room $249.00 per night Single Twin Double
Novotel Standard Room $290.00 per night Single Twin Double
  Executive Room $325.00 per night Single Twin Double
Mantra Hotel Room $240.00 per night Single Twin Double
1 Bedroom Apt $280.00 per night Single N/A Twin Double
I understand all cancellations or amendments must be made in writing to Conference Co-ordinators and will be acknowledged in writing.
Neither Conference Co-ordinators nor the hotel will make any charges against your credit card unless you fail to give at least 30 days notice in writing of your cancellation or if less than 30 days prior to arrival your booking is reduced or cancelled in which case full payment will be required unless the room(s) can be resold. Full payment of your account will be required at the time of your departure. NOTE: Some hotels may do a pre-authorisation to ensure the validity of the card supplied.
CARD DETAILS MUST BE PROVIDED TO HOLD YOUR BOOKING

Cancellation Policy

PLEASE COMPLETE YOUR TITLE ABOVE

PLEASE COMPLETE YOUR NAME ABOVE

PLEASE COMPLETE YOUR SURNAME ABOVE

PLEASE COMPLETE YOUR ORGANISATION ABOVE

PLEASE COMPLETE YOUR PHONE NUMBER ABOVE

A VALID EMAIL ADDRESS IS REQUIRED

EMAIL ADDRESS MUST MATCH

YOU MUST AGREE TO THE CANCELLATION POLICY