Please fix these below errors:

Club Name

Please type in your club name or select from the list, as you type...

Registrant Title

› Lion
› Mr.
› Mrs.
› Ms.
› Dr.
› DG
› PCC
› PDG
› 1st.VDG
› 2nd.VDG
› ID
› PID
› Prof.
› Rev.

Given Names (perferred) *

Last Name *

Person 2 Title

› Lion
› Mr.
› Mrs.
› Ms.
› Dr.
› DG
› PCC
› PDG
› 1st.VDG
› 2nd.VDG
› ID
› PID
› Prof.
› Rev.

Partner Given Names

Partner Last Name

[Add more persons]

Person 3 Title

› Lion
› Mr.
› Mrs.
› Ms.
› Dr.
› DG
› PCC
› PDG
› 1st.VDG
› 2nd.VDG
› ID
› PID
› Prof.
› Rev.

Person 3 Given Names

Person 3 Last Name

Person 4 Title

› Lion
› Mr.
› Mrs.
› Ms.
› Dr.
› DG
› PCC
› PDG
› 1st.VDG
› 2nd.VDG
› ID
› PID
› Prof.
› Rev.

Person 4 Given Names

Person 4 Last Name

Convention First Time Attendees?

* Please add person names above...

Contact Details

Postal Address - Building Street Name

Suburb

Postcode

State

› QLD
› NSW
› NT
› SA
› TAS
› VIC
› WA
› Oversea

Mobile Number *

Emergency Person *

Emergency Phone Number *

Dietary Requirements - Please comment with names and specifics

Hospitality
Registrations are required even if you do not require any hospitality.
Please note, some activities have limitied numbers and will be on first come first serve basis.

Friday 28th April - Meet and Greet (Evening)	$38pp

* Please add person names above...

Sun 30th April - Cabinet Secretaries & Treasurers Lunch (Limited seats available!)	$39.50pp

* Please add person names above...

Sun 30th April - Gala Dinner 6:30pm	$76pp

* Please add person names above...

sorry [SOLD-OUT] Convention 2023 Pin	$5pp

* Please add person names above...

Friday 28 April 2023 at 10:45am - Speaker Jimmy Pham AM: The Power of One
Saturday 29 April at 11:00am - Speaker Julie Cross: The Power of Passion
Saturday 29 April at 2:00pm - Speaker AP Singh: 3rd International Vice President
Saturday 29 April at 2:30pm - Speaker Tim Irvine: International Director
Sat 29th April - PDG Dinner (by invitation)
Sun 30th April - PIP, PID, PCC Lunch (by invitation)

Total Costs: