EmailMe Form - Women's Conference 2022

Course Selection

Please Select *

Conference: Saturday 2 July 2022, 9:00am - 3:30pm (8:45am Registration)

*if selecting conference dinner a member contribution of $20.00 is required (please complete the payment section and pre-order menu at the end of this form).

Contact Details

AEU member no

Name *

First Last

Classification *

Position

Workplace

Non-DfE Email Address *

Preferred Email Address *

AEU Correspondence will be sent to your preferred email address. If it is the same as you non-DfE email address, please type it in again here.

Please note: email correspondence to non-DfE email addresses may arrive in your junk/spam folder. Please check this folder regularly.

Phone number

Special Requirements/Dietary Requirements

Special Dietary

Disability

Access

Other

Enter details here *

I require assistance with...

TRAVEL

I require assistance with...

ACCOMMODATION

Preferred flight dates/times/airports/ buses/ferries etc.

Preferred dates, arrival/departure times, name of member you wish to share accommodation with etc.

Additional details, instructions or questions

Workshop Selection

Workshops are subject change and maximum numbers

Please select a workshop to attend during the conference *

1. What do we need for better work-life balance?

2. What about workload?

3. Yoga for Wellbeing

Payment Details for Women's Conference Dinner - Friday 1 July 2022

DINNER BOOKINGS HAVE NOW CLOSED

Cost

$20.00 Member Contribution

Card Type

Visa

Mastercard

Card Name

Card Number

Expiry Date

MMYY

Pre-Order Menu Selection for Conference Dinner - Friday 1 July 2022

*only complete this section if you selected above to attend the Conference Dinner

Main Course Pre-Order

Chicken parmigiana with napolitana sauce, parmesan & crunchy chips

Chef's Eggplant Melanzane

Gluten Free

Vegan

Dessert Pre-Order

Mixed berry pavlova with mascarpone & passionfruit coulis

Chocolate tart with berries & anglaise sauce

Gluten Free

Vegan