Omega Summit Ticket Form 2025

When: 19th to 21st June 2025

Where: The Langham, Gold Coast, QLD

Practice Name*

Primary Contact Name*

First NameLast Name

Primary Contact Mobile Number*

Primary Contact Email*

example@example.com

Business Address*

Street Address

Street Address Line 2

CityState

Post CodeCountry

How did you hear about this event?*

Please select the tickets you would like to purchase from the below options:

NB - if you already have TOP Platinum tickets in place and would like to purchase additional tickets only, please use the 'Non Platinum Member Tickets' option.

If you are unsure please get in touch with our team at any time.

My Products

Early Bird - Non Platinum Member Tickets / Additional tickets (save $300) Product Image

Early Bird - Non Platinum Member Tickets / Additional tickets (save $300)Full priced tickets for TOP members or Omega Platinum members wanting additional tickets above their allocation.

$1,797.00AUD Quantity
Item subtotal:$0.00AUD

Team Omega Platinum Member Product Image

Team Omega Platinum MemberTeam Omega Platinum Member Holding Deposit. $500 GST inclusive per ticket with a maximum of 2 tickets per member. You may purchase additional tickets below.

$500.00AUD Quantity
Item subtotal:$0.00AUD

Enter coupon

Total

$0.00AUD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Ticket Holder 1

First NameLast Name

Ticket Holder 1 Email

example@example.com

Ticket Holder 1 Job Title

Ticket Holder 1 Dietary Requirements

Ticket Holder 2 Name

First NameLast Name

Ticket Holder 2 Email

example@example.com

Ticket Holder 2 Job Title

Ticket Holder 2 Dietary Requirements

Ticket Holder 3

First NameLast Name

Ticket Holder 3 Email

example@example.com

Ticket Holder 3 Job Title

Ticket Holder 3 Dietary Requirements

Ticket Holder 4

First NameLast Name

Ticket Holder 4 Email

example@example.com

Ticket Holder 4 Job Title

Ticket Holder 4 Dietary Requirements

Ticket Holder 5

First NameLast Name

Ticket Holder 5 Email

example@example.com

Ticket Holder 5 Job Title

Ticket Holder 5 Dietary Requirements

Ticket Holder 6

First NameLast Name

Ticket Holder 6 Email

example@example.com

Ticket Holder 6 Job Title

Ticket Holder 6 Dietary Requirements

Ticket Holder 7

First NameLast Name

Ticket Holder 7 Email

example@example.com

Ticket Holder 7 Job Title

Ticket Holder 7 Dietary Requirements

Annual Omega Summit