Backflow Prevention Assoc. of Australia

Name of organisation

Please complete one per person

First Name/Preferred Name:

Surname

Contact number/ Mobile

Email address

Special Dietary Requirements e.g. Vegetarian, Vegan, Coeliac

Will your partner be attending? If so, name?

Does your partner have any Special Dietary Requirements i.e. vegetarian,Vegan, Coeliac

Partners extra tickets - Welcome Function (Thursday Night) $60

1 Ticket
2 Tickets
More than 2 tickets (BPAA office will call you to confirm details)
My partner is included in my trade/sponsorship agreement

Partners extra tickets - Conference Dinner (Friday Night) $90 each

1 ticket
2 Tickets
More than 2 tickets (BPAA office will call you to confirm details)
My partner is included in my trade/sponsorship agreement

Partners Full Day Factory Tour (Friday)

1 Ticket
2 Tickets
More than 2 tickets (BPAA Office will call you to confirm details)

Please note the BPAA in not registered for GST so there is no GST applicable to the cost.

Please be aware your photo may be taken for marketing purposes. Please contact us in writing if you do not wish for this to occur.