SKAL Australia AGM & 101st National Assembly Darwin 2020

REGISTRATION FORM

Name*
First Last
Email*
Phone Number*
Club name*
Visiting Club Name
Registering as*
Is this your first National Assembly?*
- Yes
- No
Is your partner/travel companion attending?*
- Yes
- No
Name*
First Last
Is your partner a SKAL Member?*
- Yes
- No
Partner Club Name
Partner Visiting Club Name
Partner Registering as*
Arrival Date
Date Format: MM slash DD slash YYYY
Departure Date
Date Format: MM slash DD slash YYYY
Where are you staying?*
ACCOMMODATION MUST BE BOOKED DIRECT WITH THE HOTEL. YOU WILL BE RE-DIRECTED TO THE DARWIN2020 WEBSITE TO MAKE YOUR BOOKINGS FOR EVENTS AND ACCOMMODATION WHEN YOU SUBMIT YOUR REGISTRATION DETAILS BELOW.
Email
This field is for validation purposes and should be left unchanged.

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