AMIC Industry Partner Registration Page

Industry Partner Business Name
Primary contact attending:*
First Last
Mobile Phone*
Email*
Trade Exhibition Stand?*
Exhibition space will be a 2m x 1m open faced booth (no front fascia board). A trestle table and chairs will be provided, and you are welcome to use the space immediately in front of the space also. If you need a larger amount of space (machinery, larger items) please let notify Louise as soon as possible on 0437 196 882 or [email protected] Goods and packages can be stored at the hotel from Tuesday - please let Louise know if you will be sending anything to the hotel.
Industry partners are invited to provide a promotional item or two for the delegate bag (120 required, to be delivered to the venue by Wed 13th Feb). If you will be poviding branded items, please outline them below
Do you want to register any additional colleagues?*
Colleague 1 Name:
First Last
Colleague 1 Email:
Colleague 1 Mobile Phone
Colleague 2 Name:
First Last
Colleague 2 Email:
Colleague 2 Mobile Phone
Colleague 3 Name:
First Last
Colleague 3 Email:
Colleague 3 Mobile Phone
Staying at Esplanade Hotel?*