Event Information Form

Please complete the following Event Information Form

Name of Event Organiser

First Last

Phone of Event Organiser

Email of Event Organiser

The Event is for the following:

Members Only
Non-Members Only
Both Members and Non-Members

The Event is for the following Chapter(s):

NSW/ACT
NZ
QLD
SA/NT
VIC/TAS
WA
ASIA
ALL CHAPTERS

The Title of the Event is (max 8 words):

The Date of the Event is:

The Start Time of the Event is:

:

The End Time of the Event is:

:

The Event Time Zone is:

ie. AEST, NZST or other etc

The Event Location is:

ie. The name of the School, Restaurant or Convention Centre etc

The Address of the Event Location is:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

The Cost for Members is (write Free if there is no cost):

The Cost for Non-Members is (write N/A if a Member-Only event):

Is there a Maximum Capacity for the Event (and if yes – please write the number in text box below):

Yes
No

If yes, we will close registration when this number is reached and start a waitlist.

[If applicable] … The Maximum Capacity for the Event is:

Event Promotional Blurb (up to 200 words)

Please supply a blurb (up to 200 words) that gives an exciting insight to the event and invites delegates to register. What challenge will this event help them to find answers for? What issues will this resolve? How will it equip them to make greater impact or to feel more confident and empowered?

Three Key Take Aways (If this is a Professional Development Event)

Please list at least three Key Take Aways that will compel participants to register.

Are there any Presenters/Facilitators that need to be highlighted?

Presenter Bio (up to 150 words)

Please supply a short Bio (up to 150 words) about the Presenter for use on the event promotion page

Are there any Event Partners/Sponsors that need to be recognised:

Is there any additional Event Information that delegates need to know:

Please provide the following if relevant: Parking information, where to go upon arrival etc

Is there anything you need to upload regarding the Event:

Drop files here or

Max. file size: 52 MB.

ie Map of the location showing parking / entrances etc; Promotional images you’d like to use; Restaurant menus, etc