2024 Conference Registration 56th ANNUAL CONFERENCE, Bathurst, NSW 16th-19th October 2024 Closing date for Registration is Friday 6th September, 2024. Registrations received by Friday 9th August, 2024 qualify for Early Bird Prize of $250 Conference Venues are: Panthers Bathurst, Mantra Bathurst and Bathurst Goldfields. Please book your own accommodation. Suggested accommodation information is attached. Details of accommodation set aside for IWA Executive, IWA Editor, Council Members, and Appointed Officers will be emailed. These members are required to confirm their accommodation no later than 1st August 2024. The Conference venues have wheelchair access to all areas. Please PRINT when completing this form. Members and Partners should share a form. Please complete a separate form for each Club member attending when the Club is making a single payment for registrations. MEMBER Your Name (required) Your Email (required) Address (required) Suburb, State & Postcode (required) Phone Number (required) Format: 10 digits including area code Inner Wheel Club (required) Inner Wheel District (required) A40A50A51A53A54A55A60A61A62A70A76A77 Inner Wheel Position 2024-2025 Highest Inner Wheel Position Mobility Constraints? Where Staying (required) Own Transport to venues? (required) —Please choose an option—yesno Require bus? (required) —Please choose an option—yesno Dietary Requirements - Please detail MEDICAL REQUIREMENTS ONLY Name Dietary Requirement Name Dietary Requirement Accompanying Partner/Guest Name Partner/Guest Telephone Partner/Guest Mobile Partner/Guest Medical Dietary Requirements Partner/Guest Mobility Constraints Wednesday 16 October Registration - Registration, Returning Officer & House of Friendship. Venue – Panthers Bathurst 1.00pm - 5.00pm No Cost Thursday 17 October Registration, Returning Officer & House of Friendship Venue : Panthers Bathurst - 9:00am - 5:00pm Council Meeting Venue : Mantra Bathurst - 9.00am - 4.00pm Council Members Only Attendee Member Friday 18 October Registration, Returning Officer & House of Friendship Venue : Panthers Bathurst - 9:00am - 5:00pm District Chairman's Breakfast incl. VC & JVC - 7.30am - 9.00am Cost $27.50 Attendee Member Partner N/A Cost $27.50 Opening Ceremony - Panthers Bathurst - 10.30am - 12pm Cost No Charge* Attendee/s MemberPartner Transport if required : Cost $10.00 per person MemberPartner Transport Cost @ $10 per person $10$20 Lunch - 12.00pm - 1.00pm Cost $15 Attendee/s MemberPartner Cost @ $15 per person $15$30 Forum - Q & A - 1.00pm - 2.30pm Cost No Charge* Attendee/s MemberPartner *Please ensure attendees are indicated for No Charge sessions Gala Dinner - A Touch of Red Venue: The Goldfield, 428 Conrod Straight Dress: Formal/Lounge 6.30pm - 10.30pm Cost $75 per person Attendee/s MemberPartner Cost @ $75 per person $75$150 Transport if required : Cost $10.00 per person MemberPartner Transport Cost @ $10 per person $10$20 SUB TOTAL this section 18 October Saturday 19 October Registration, Returning Officer & House of Friendship Venue : Panthers Bathurst - 8:00am - 8.30am Business Session, AGM & Keynote Speakers (Morning Tea & Lunch) Venue : Panthers Bathurst - 8:30am - 2.30pm Cost $25 per person Attendee MemberPartner Cost @ $25 per person $0$25$50 Transport if required : Cost $10.00 per person MemberPartner Transport Cost @ $10 per person $10$20 Friendship Dinner - Winners are Grinners Venue : Panthers Bathurst - 6:30pm - 10.30pm Dress : Rev Up Gear Cost $60 per person Attendee/s MemberPartner Cost @ $60 per person $0$60$120 Transport if required : Cost $10.00 per person MemberPartner Transport Cost @ $10 per person $10$20 SUB TOTAL this section 19 October REGISTRATION FEE Registration Fee is $45 per person Attendee/s (required) MemberPartner Cost @ $45 per person (Required) $45$90 SUBTOTAL this section (Registration) (required) TOTAL COST (GST Inclusive) (Required) Please ensure you add together all sub totals from each section PAYMENT Please indicate payment method: Electronic Funds Transfer (EFT)Cheque Please make payment after completing this form and submitting. EFT: Westpac Bank BSB 032-576 Account No. 162930 Inner Wheel Australia Inc. Please insert your surname and club in reference section Paying by Cheque: Please complete the registration and post cheque made payable to Inner Wheel Australia Inc. and mail to : Conference Registrar, Melissa Freeman, address 1 Lomandra Lane, Pokolbin NSW 2320. Phone 0407598024. Cancellation date for all functions is Friday 13th September 2024. Refunds or cancellations after the closing date will be at the discretion of the Inner Wheel Executive as numbers will have already been committed.