June3CEGG

Registrant Contact details
First Name*
Second Name*
Email contact:*
This email is not provided to any other parties. This address is strictly for use by CEGG organisers.
Enter Email Confirm Email
No of people*
Number of people attending.
Energy Group
Name of your community energy group and contact details, phone, email etc. Please give as much information as possible. Only the group name and email are required fields.
Group Name
Group Contact
the person we would contact at the group
Group Email contact:
This email is not provided to any other parties. This address is strictly for future contact by CEGG organisers.
Enter Email Confirm Email
Contact phone
optional phone number
Address
Street Address Address Line 2 City State Post Code
Daylesford Gathering information
To help us help you make the most of the afternoon.
What you would like to see covered in the program?
The purpose of this day is to connect and share ideas, knowledge, resources, and potential collaborations. Please advise if there is any particular items you would like to add to the day’s program and if there are any resources you are bringing.
Catering
Whilst we cannot guarantee lunch, afternoon refreshments will be provided. Please advise any special dietary requirements.
Anything else?
just anything you want us to know, regarding your attendance
Information Security
All the information you have provided above is held in strictest confidence by SHARE and our energy partners.
Name
This field is for validation purposes and should be left unchanged.

REGISTRATION FOR EVENT: Collaborating for a zero net energy future

Registrant Contact details

Energy Group

Daylesford Gathering information

Information Security

Request more information or call 03 5335 3703