Please enable JavaScript in your browser to complete this form.Please complete this form by Friday 18 October 2024. Lodge: *Abbots PointAquilaBlackwater No 1Broadmeadow BMACallide PowerCallide ValleyCarborough DownsCarmichaelMEU (District Office)MEU (National Office)ClermontCommodore OpencutCoppabellaCurraghCurragh NorthFoxleighGerman CreekGladstone Port AuthorityGladstone Power StationGoonyella RiversideGrasstreeGrosvenorHail CreekHay PointJellinbahKalariKogan Creek Coal MineKogan Creek Power StationLake VermontMoranbah NorthMouraMt IsaNew AclandNewlands OpencutNorth GoonyellaOaky CreekOaky NorthOrica QueenslandPeak DownsQueensland Bulk HandlingSarajiSonomaState MemberTarong Coal MineTarong Power StationValley LongwallWest MoretonWilsons MiningYongala (Ensham)Full Name (as appears on driver's license): *Position *Contact Number (Mobile): *Email *AccommodationDo you require accommodation: *YESNOCheck in:Check outDo you require flights: *YESNOFlightsFull name of person/people travelling (as appears on driver's license/ID):Departure Flight: Departing from:Arriving at:Date:Time:Flight #:Airline:Any other requirements:Return Flight: Departing from:Arriving at:Date:Time:Flight #:Airline:Any other requirements:Submit