First name *

Last name *

Preferred title (Ms/Mrs/Mr/Dr/Prof)

Position

Organisation/University department *

Preferred name and organisation for name tag

Email address *

Postal address

Phone *

Cell Phone

Yes/No I will attend drinks and nibbles after the conference. *
Yes No

We offer vegetarian and gluten free choices with our symposium lunch, and nibbles.

Other dietary requirements (we will try to meet your needs)

I have read the above 'Consent for the collection of your data' and agree to those terms (click the + to read the terms).

I would like to receive communication from the Waterways Centre for Freshwater Management regarding upcoming conferences or events relating to water, and the Waterways annual report. This email list is kept securely and is not shared with any other entity including other University departments.

Yes No