First name: * Last name: * Phone number: * Email: * Company name: Account #: (if known) Your billing reference: Anything you may need us to reference for your internal billing Call Details Date of conference: * Day12345678910111213141516171819202122232425262728293031 MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year20212022 Time of Conference: * Hour123456789101112:Minute000510152025303540455055 am / pmampm Time zone: * ---NZDT - ends 04/04/21NZST - 04/04/21 to 27/09/21AEDT (NSW, VIC, TAS, ACT) - ends 04/04/21AEST (QLD) - ends 04/04/21AWST (WA)ACST (NT) - ends 04/04/21ACDT (SA) - ends 04/04/21AEST (QLD, NSW, VIC, TAS, ACT) - 04/04/21 to 03/10/21ACST (NT, SA) - 04/04/21 to 03/10/21 Participant Details Please provide each party's name and phone number below: Chairperson Name: * Chairperson Phone Number *: Please Note: If participants wish to dial in, dial In Numbers will be provided in your email confirmation Participants Phone Numbers* If international numbers, please include country and area code. For more participants, please enter below: (One participant per line) Would you like your call to be recorded? Yes No Email address to receive recording: Additional: (CD required, transcription, roll call …) *I confirm that information above is accurate.