Add you details to our register of speakers

Items marked with an asterix (*) need to be filled in.

What best describes what you are?*

Detail

Information

Name*

Alternative name or company

Preferred contact details

Address*

e-mail*

Webpage

Mobile*

Telephone

Topics

Where presented

Distance available across the state

Yes or No

Sydney region

North west region

Central west region

Southern-south west region

Expected remuneration

Private travel costs

Travel fares

Accommodation

Other costs

Remote presentation

Skype

Webinars

Other

Other Comments

I agree for my details to be included in a database and, my name and
capabilities being published on the Association website.