Individual Registration

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

Ticket Type	Price	Quantity
Single Registration Two day, in person conference ticket	$1,500.00
Early Bird: Single Registration (valid to 19/10/21) Two day, in person conference ticket	$1,350.00
Early Bird: 3 for 2 Group Ticket (valid to 19/10/21) Two day, in person conference tickets for 3 guests.	$2,700.00
Group Ticket: 3 for 2 Two day, in person conference tickets for 3 guests.	$3,000.00
Online/Virtual Registration Two day, virtual conference ticket (access to event platform, live sessions and conference materials))	$750.00

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

Discount 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 Type*

Card Holder Name*

Verification code*