National Conference 2017

 

Find Your Local Legacy

Select your state:

WA NT SA TAS QLD NSW ACT VIC NSW NT QLD SA TAS ACT VIC

OR

Enter your town / postcode:

Registration

Registration - Legacy

Lorem ipsum dolor sit amet, ad eos summo iusto, mel ea dico libris, ad sea agam altera. Ne saperet mentitum sea. Nec et verear alterum facilisis, in quo aperiam vivendum. Nonumy adolescens id nam. Quas torquatos scriptorem id sed, cu alii noluisse nec.

Mel an euripidis laboramus cotidieque, veniam animal nec ea. At sed nulla ignota quaeque, ad brute elaboraret quo. Pro ne soluta audire, vel tation patrioque splendide ea, mea oratio soluta appetere ne. Viderer nominavi pro no, mandamus liberavisse per ne. Vis augue dicit singulis ne.

To register your interest, please provide your details below and Legacy will be in touch to complete your registration.



Surname: *

Given name: *

Address: *

Title (ie President): *

Legatee/Staff: *

Legacy Club: *

Contact number: *

Email address: *


ATTENDANCE

Full Conference:

Partial attendance, I will attend the following:
Day 1 - Ceremony / Cocktail Party:
Day 2 - LA Inc. AGM:
Day 3 - Conference of Legatees:
Day 3 - Conference Dinner:

At the Conference Dinner I would like to be seated with:

Dietary Requirements:

Mobility Restrictions:

Anything else that we should be aware of?:


PARTNER ACTIVITIES

Partner attendance (yes or no):

Partner surname:

Partner given name:

Partner address:

Partner contact number:

Partner email address:


List of partner activities - I would like to attend the following:
Day 1 - Ceremony / Cocktail Party (COST):
Day 3 - Conference Dinner (COST):

Partner Dietary Requirements:

Partner Mobility Restrictions:

Anything else that we should be aware of?:







Make a donation to Legacy

donate now
 

Share This Page: