First name

Surname

Company (if applicable)

Phone Number

Email Address

Postal Address

Do you have any Special Dietary Requirements?

Yes
No

If yes, what are your dietary requirements?

Click here if you do not want your contact information available to other conference attendees and sponsors.

No I do not wish to make my details available

It is typical for staff to take photos on the day that may be used for future marketing. Please let the staff know on the day, if you do not wish your photo to be taken.

Partners are welcome to join in for the GALA Dinner and enjoy all the Sunshine Coast has to offer.

I will be attending alone.
My Partner will be attending the Dinner (Cost $70)

Which days/events will you be attending?

Both Days - 2nd & 3rd June 2022 with Event Dinner Included
Day 1 - 2nd - June Local Govt Innovation, Technology and updates
Day 2 - 3rd June - Circulating and Heated Water Systems
2nd June 2022 - Dinner Only - (for partners) (included with TWO-DAY REGISTRATION (otherwise $70 each)

If your partner is attending do they have any special dietary requirements. Enter below.

IPIQ Member Number

I am not a member of the IPIQ