Registration Form

Please complete the registration form for all delegates attending the AGM, Summit, and Awards. An invoice from Retail Drinks Australia will then be forwarded to finalise payment prior to the event.

Key Contact:

Are you registering on behalf of a Delegate and are the key contact?

First Name

Last Name

Position title

Company

Phone Number

Delegate Details:

First Name*

Last Name*

Position title*

Company*

Company Address*

Phone Number*

Email*

Is your store/company a Retail Drinks Australia member?*YesNo

This is a member only event for voting-rights members and numbers are limited. Associate Members are entitled to one (1) complimentary delegate registration.

I am registering myself to attend the SUMMIT and AGM (Members Only)

Yes

I am registering a group of people to attend the SUMMIT and AGM (Members Only)

Additional delegate details:

First Name & Last Name

Position title

Phone

I am registering myself to attend the Awards
RDA Member: $350 + GST per person
Non-Member: $450 + GST per person

Yes

I am registering a group of people to attend the Awards
10% discount for group bookings of 10+ people

Additional delegate details:

First & Last Name

Position title

Phone

Dietary requirements