Executive PA Summit Melbourne - Thursday 8th February Application Question Title * 1. Contact Details First Name Last Name Job Title Company Address Line 1 Address Line 2 City State Postcode Country Work Telephone Work Email Position of Boss Question Title * 2. What industry do you work in? Please Select Please Select Accounting Advertising, Media, Arts Banking & Financial Services Community Services & Development Construction Consultancy & Strategy Design & Architect Education & Training Engineering Healthcare & Medical Hospitality & Tourism Information & Communication Technology Insurance & Superannuation Legal Manufacturing, Transport & Logistics Marketing & Communications Real Estate & Property Retail & Consumer Products Sales Self Employment Sport & Recreation Trades & Services Calls Centre & Customer Service Farming, Animals & Conservation Government & Defence Mining, Resource & Energy Science & Technology Please Select Please Select menu Other (please specify) Question Title * 3. What type of event/s have you organised in the past year? Conference External Meeting Christmas Party Training AGM Incentive Travel Teambuilding Other (please specify) Question Title * 4. What size (attendees) events do you often book? (tick multiple if required) 0-50 pax 50-100 pax 100-200 pax 200+ pax Other (please specify) Question Title * 5. What is your annual budget for corporate travel and events? Please Select Please select 0-$10000 $10001-$50000 $50001-$100000 $100001-$200000 $200001+ Please select Please Select menu Question Title * 6. How many events do you organise per year for your business? Question Title * 7. In which locations do you organise events? Local Interstate Regional Overseas Please specify what cities and states you book events in. Question Title * 8. Do you book business travel for your organisation? Question Title * 9. Do you book hotel accommodation for your organisation? On a regular basis Sometimes No Question Title * 10. Would you like to discuss training, employee engagement or team building? Yes No Question Title * 11. Would you like to discuss career development & recruitment matters? Yes No Question Title * 12. Planned projects over the next 18 months Question Title * 13. In the event your application is accepted, please advise on any dietaries Question Title * 14. In the event that you're unable to attend we ask that you provide a replacement. Please provide their details below. Name Mobile Email Question Title * 15. Terms & Conditions If my application is successful, I understand my attendance is required for the duration of the event on Tuesday 8th February.I understand that attendance is free of charge for qualifying delegates and that this is an exclusive, high value one-day event of professional development & executive meetings. Therefore attendee numbers are restricted and I agree that a cancellation fee of $400 will apply should I cancel after 31/01/2018 and my organisation does not provide a suitable replacement. Thank you for submitting your final application and you will be contacted by Wednesday 31st January 2018. Submit