Individual Registration

Please enter information in the form below to process registration for event High Voltage Conference - Melbourne, Australia.

Ticket Type	Price	Quantity
Single Registration Two day, in person conference ticket	$1,000.00
Early Bird: Single Registration (valid to 17/02/2021) Two day, in person conference ticket	$900.00
Early Bird: 3 for 2 Group Ticket (valid to 17/02/21) Two day, in person conference tickets for 3 guests.	$1,800.00
Group Ticket: 3 for 2 Two day, in person conference tickets for 3 guests.	$2,000.00

First Name *

Last Name *

Company Name *

Job Title *

Address *

City *

Post Code *

Country *

State *

Phone *

Email *

Group Ticket Names & Emails: *

How did you hear about the event? *

Amount

Tax amount

Gross amount

Payment Method *

Paypal (Account or Credit Cards) NAB Transact (Credit Cards - no AMEX)

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Verification code*