Event Interest / WACOSS Conference and Community Services Excellence Awards 2018

Free Registration Form (small to medium regional organisations)

Free Regional Conference Registration Application Form


To apply for a free registration to attend the WACOSS Conference
please complete all fields below. This only applies to small and medium regional organisations. WACOSS will be in contact once your application has been assessed.




First Name *

Last Name *

Organisation *

Position *

Street and number

Suburb

State

Postcode

Contact Number *

Email Address *

Organisation Category (choose one)

Why should you be funded to attend the WACOSS Conference?

How will your attendance benefit your organisation and the community you serve?


I have read and agree with the terms and conditions as outlined in the WACOSS application


I confirm the information is true and correct