Individual Registration

Please enter information in the form below to process registration for event 8th Hazardous Areas Conference - Brisbane, Australia.

Ticket Type	Price	Quantity
Single Registration Two day, in person conference ticket	$1,795.00
Early Bird: Single Registration (valid to 18/08/21) Two day, in person conference ticket	$1,615.50
Early Bird: 3 for 2 Group Ticket (valid to 18/08/21) Two day, in person conference tickets for 3 guests.	$3,231.00
Group Ticket: 3 for 2 Two day, in person conference tickets for 3 guests.	$3,590.00
Online / Virtual Registration Two day, virtual conference ticket (live video link sent to you along with conference materials)	$1,000.00

First Name *

Last Name *

Company Name *

Job Title *

Address *

City *

Post Code *

Country *

State *

Phone *

Email *

Group Ticket Names & Emails: *

How did you hear about the event? *

Amount

Discount Amount

Tax amount

Gross amount

Payment Method *

Paypal (Account or Credit Cards) Offline Payment NAB Transact (Credit Cards - no AMEX)

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Verification code*