ConPharm 2021 Exhibitor registration form

Contact details

Unique ID

Company

Name (will appear on badge)*

Prefix First Last

Postal address*

Street Address Address Line 2 Suburb State Postcode

Mobile*

Email*

Registration options

I agree to have my Name and State printed on a list made available to all attendees*

Yes
No

Is this your first time attending the ConPharm Seminar?*

Yes
No

Conference registration

Registration Details*

Free Exhibitor Registration Friday 18 June - Sunday 20 June (only one per stand)
Setting up stand only Friday 18 June 9-11am (no charge)
Attending stand Friday 18 June (Welcome reception included) - $95
Attending stand Saturday 19 June - $95
Attending stand Sunday 20 June - $95

Select if you are attending the welcome reception (for catering numbers only)

Welcome Reception - Drinks and Canapes Friday 18 June (5:15pm to 7pm). No extra charge

Special dietary requirements

Total

$ 0.00

Payment method*

Credit card via AACP website
Invoice required prior to payment.
No payment required

Terms and conditions*

I have read the terms and conditions

Confirmation of registration form will be acknowledged via email by next working day. If you do not receive confirmation from the ConPharm organisers please give the office a call on 02 6120 2800 (Option 6). All prices are GST inclusive. A tax receipt will be issued after payment is received.