Regional Conference/AJPA AGM 2023 Registration First Name *Last Name *Phone Number *Email *Financial & Voting Statement *YES, I am a financial member as at 30 June 2023 and eligible to voteNO, I am not a financial member of AJPALUNCH: I would like to order a lunch at a cost of $20 *YES, I will make an online payment of $20NO, I will make my own lunch arrangementI have the following dietary requirements: (complete if applicable) VegetarianGluten-FreeOtherIf you have selected the meal option as "Other', please specify: EmailSubmit