AIP WA Student Conference 2024 - Industry & Others Registration
Date: Wednesday 13th November 2024
Time: 9am - 6pm
Location: Ross Lecture Theatre, Physics Building, University of Western Australia

Thank you for registering your interest in attending the 2024 AIP WA Student Conference.
Any further questions? Get in touch: studentconference@wa.aip.org.au
We look forward to seeing you at the conference and hearing about your work!
Email *
What is your full name?
*
What is your phone number? 
What is the name of the company or organisation for which you work?
*
What is the address of the company or organisation for which you work?
*
What is your position or job title at work?
*
Is your company a sponsor of the conference? 

If yes, please indicate whether you will be using one of the complementary registrations included with the sponsorship. If no, are you a paying member of AIP, if not please note that you may be charged a $20 attendance fee to help cover catering and other costs.
*
Will you be attending the conference for the whole day? 
*
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Australian Institute of Physics.

Does this form look suspicious? Report