Personal details First Name * Surname * Business Name * Postal Address * Town / Suburb * Postcode * Mobile number * Email address * Confirm Email address * Packages Available I wish to book * A sponsorship package WITH a trade exhibition stand A sponsorship package WITHOUT a trade exhibition stand A trade exhibition stand Advertising Sponsorship Opportunities I wish to book Keynote Sponsor $1200 (1 available) Program Sponsor $1200 (1 available) Trade Exhibition Stand Details I would like to book An Exhibition Stand on the 13th of May ($390) Note Friday is fully booked Information on my Trade Exhibition StandPlease complete the following section on your trade exhibition stand. I require 1 display table 1 display board Power* I will not be reserving a trade exhibition stand *Please note that all exhibitors must bring their own tagged and tested extension cables and powerboards, as well as table coverings. Please tell us the number of staff at your exhibition stand Note that the price of an exhibition stand includes catering for TWO people. Additional attendees will be charged $50 per person Advertising Opportunities I would like to book Satchel insert (for organisations not exhibiting at the conference only) $180 Full page ad $130 Half page ad $80 Your Company DetailsPlease provide us with your company contact details you wish to be printed in the program Phone number Email address Website Payment DetailsTax Invoice ABN 97 315 356 383 - - - If you experience problems submitting this form please print, scan & email to pl@datta.vic.edu.au. For credit/debit card payments, our staff will call you to take the details. I am paying by Credit/Debit Card Please send me an invoice Who should we send the invoice to? Please include name and email address Please include order number here