Conference Summary Form

Please complete the form below and click submit. Fields in red are mandatory.

Your Details

Type of Event

Meeting Details

(Include pre & post days)

(Delegates travelling from within Western Australia - intrastate)

(Delegates travelling from interstate - all states except Western Australia)

(Delegates travelling from overseas)

How did you hear about us?

Your Signature

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Collection Statement 

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 by PCB, or you require further details on the privacy policy please contact our Director of Corporate Services on +61 (0) 8 9218 2900.