OHS Registration 2021

Reg ID

How Many Participants?*

Participant 1

Title

Name*

First Last

JOB TITLE*

ORGANISATION*

Address*

TELEPHONE*

FAX

Email*

Participant 2

Title

Name*

First Last

JOB TITLE*

ORGANISATION*

Address*

TELEPHONE*

FAX

Email*

Participant 3

Title

Name*

First Last

JOB TITLE*

ORGANISATION*

Address*

TELEPHONE*

FAX

Email*

Participant 4

Title

Name*

First Last

JOB TITLE*

ORGANISATION*

Address*

TELEPHONE*

FAX

Email*

Participant 5

Title

Name*

First Last

JOB TITLE*

ORGANISATION*

Address*

TELEPHONE*

Email*

FAX

Where/how did you find out about the Occupational Health & Safety Seminar (in partnership with LUCELEC)?

Please Specify

Level of Participation

Event Rates

Category	Members	Non-Members
Registration fee per delegate	$150.00	$175.00

*CARILEC partners please contact us for specially discounted rates

MEMBERSHIP/EXHIBITION SELECTION*

MEMBERS
NON-MEMBERS

Exhibition Virtual Booth

Name*

First Last

Email*

Organisation:*

Sector:

Address*

Country

ALL PAYMENTS MUST BE RECEIVED TWO (2) WEEKS PRIOR TO CONFERENCE DATE TO ENSURE REGISTRATION.

OSH

Please note the following:-

Registration is not complete without payment, and thus payment is due in advance
Copies of bank notices for telegraphic transfers must be emailed to CARILEC upon completion of transaction with bank
A 10% discount will be given to companies registering four (4) or more persons. However, all registrations must be received together for discount to be applied.
Only one discount will be applied per registration
Registrations cancelled less than two weeks before the start of the conference will carry a 25% penalty

Total

$0.00