Registration Form

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Seminar *

Name of the seminar.

Contact Details

Organisation

Position/Title

Phone

Fax

Mobile

Company email address *

Registration confirmation and payment details will be emailed to this address.

Address *

Your organisation's address

State

Postcode

Please include email address of each attendee for their attendance certificate.

Total Payment * $

Enter the total amount to be paid.

Meal reservation

To reserve place(s) for lunch/dinner please indicate how many places. Speakers are free, but need to notify Mary. This can be done here.

Dietary requirements:

Please specify any dietary requirements.

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Fees for Seminar and Workshop

Early Bird Registration	$180
HEDRA Affiliates	$160
HEDRA Gold Affiliates	$140
Students	$100
Other interested parties (NON Hedra)	$200

Title	Location	Date
Identification & Classification of Bellarine Peninsula Limestone Clay Sites	Mt Moriac Hotel 1115 Princes Highway Moriac , VIC Australia See map: Google Maps Victoria AU	28/02/2019 (All day)

For enquiries about any seminars or workshops, please click here