Hearing Solutions Summit (Save My Spot)
Thank you for your interest in attending our next Hearing Solutions Summit in Townsville. 
Please fill out this form and we will be in touch with you as soon as a date is confimed.

Date: To Be Confirmed
Time: 5:30pm - 7:30pm
RSVP: (TBC)

*Please note it is NOT required to sign in to google to fill out this form unless you wish to save your progress
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Name
Email address
How many will attending including yourself? *
Phone Number
Just in case on the day we have need to contact you with last minute information.
Please provide a mobile phone number where you can be reached via text message.
Mobile Phone (for text / sms)
How did you hear about this event?
Clear selection
Are you a CICADA QLD Member *
What is your hearing journey?
Submit
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