Convention Summary Form

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Phone us +61 (0)8 9218 2900

Level 1, 41 St Georges Terrace Perth 6000
PO Box 5679 St Georges Terrace Perth WA 6831
Telephone +61 (0)8 9218 2900
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Home > Convention Summary Form

Convention Summary Form

Convention Summary Form

Your Perth Convention Bureau contact is:

Please complete the form below and click submit. Fields marked with an asterisk are mandatory.

(Mr, Mrs, etc.):
First Name	Last Name
Job Title/Position	Organisation
Phone	Mobile Phone
Fax	Email

Postal Address	City
State	Postal Code

Street Address	City
State	Postal Code
Website

Name of Meeting*

Organising Body*

Industry Sector

If other please specify

From:
To:

or Preferred Month/Year	Number of Days*

Proposed Venue (if known)
Number of Booths for Exhibition	Floor Space (sqm)

State*	National*
International*	Total Estimate*

Is the meeting an inaugural meeting? (ie has never been staged before)

Will you be using a Professional Conference Organiser (PCO)?

Yes
No
Maybe

If Yes, please give details

Has the meeting been held in Australia before?

If yes, what year and where?

Date	Location	No. of Delegates	Registration fee
Date	Location	No. of Delegates	Registration Fee
Date1	Location1	No. of Delegates1	Registration fee1
Date2	Location2	No. of Delegates2	Registration fee2
Date3	Registration fee3	Location3	No. of Delegates3
Date4	Location4	No. of Delegates4	Registration fee4
Date5	Location5	No. of Delegates5	Registration fee5

Destination selection is determined by

Bid Submission
Committee Decision
Individual
Other

If other please specify

Where do you intend to present your bid?

City

Country

Bid decision date

Organisation*	National International
Contact Person First Name*	Contact Person Last Name*
Job Title/Position*
Phone*	Mobile Phone
Fax	Email *

Postal Address*	City*
State*	Postal Code*
Website*

The information collected on this form will be used for the purpose of assessing your eligibility for assistance and determining the type of assistance the Perth Convention Bureau (PCB) can offer you. The assistance is made available at PCB's discretion. PCB may also disclose this information to enable delegates and suppliers to contact you. Should you want to view any personal information retained on you,or you require further details on the privacy policy, please contact our Privacy Officer on +61 (0)8 9218 2900.

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Phone us +61 (0)8 9218 2900

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Convention Summary Form

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