Melbourne - Amaze

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Registration Delegate Pricing All prices include GST Regional Venues Early Bird Price (to 31 May 2012) Standard Price Full Price $320 $375 Pensioner/Concession* $290 $335 Autism Victoria trading as Amaze: Professional Member $255 $295 Autism Victoria trading as Amaze: Individual/Family Member/ Concession* $225 $260 One day only $195 $195 *Concession prices are available to holders of a pension or DVA concession card (CRN required) and to full time students only. Conditions of Registration Cancellation Any cancellations received prior to 31 May 2012 will receive a full refund. Cancellations received on or after 1 June 2012 will not be refunded. All cancellations must be made in writing to jacqui@ theconferencemanager.com.au. Name changes are permitted and requests are to be made in writing. Conference Sessions All conference sessions will be presented in English and no translation services will be provided. Please refer to the website for information on topics and session times. Regional Conferences Please note that all speakers at the conference are presenting live in Melbourne (not in the regional centres). Regional centres will be provided with a live stream of the presentations being shown in Melbourne. There will be an opportunity for those at regional venues to forward questions to speakers for a response. Melbourne Early Bird Price (to 31 May 2012) Standard Price Full Price $495 $600 Pensioner/Concession* $445 $540 Autism Victoria trading as Amaze: Professional Member $395 $480 Autism Victoria trading as Amaze: Individual/Family/Concession Member* $345 $420 One day only $295 $295 Multiple delegates from one organisation: if you have more than 5 people who wish to attend from one organisation, please contact us for special pricing consideration. Children and Families Due to the nature of the conference and venues, no arrangements will be made for child minding/caring facilities. Delegates are asked to make alternative arrangements for their children during the conference days. Delegate Comfort Please be aware that we are expecting a high number of delegates at each location, so some delegates may find the level of activity and noise overwhelming. While the committee will make every effort to arrange for a quiet space to be available at each venue, not all venues have the capacity to offer a separate room for this purpose. At some venues, the quiet space may be a public area such as a garden, foyer or courtyard. Please consider this when registering for the conference.
9-10 August 2012 Knowledge-Awareness-Understanding Across the Spectrum Register Now! You can register online at: www.amaze.org.au/events-info/vac/registration If you don’t have online access, please fill in this form and return it to: Victorian Autism Conference, PO Box 3376, Caroline Springs, VIC 3023. Personal Details: First Name Last Name Mr/Ms/Other Organisation Street Suburb State Postcode Mobile Phone Phone (BH) Email Note: Please be aware that conference correspondence will be sent via email where possible. If you do not have access to email, please tick here. Special requirements: please provide details of any special dietary, access or other requirements: Registration Type: Carer/Family/Individual Education Professional ASD Practitioner Other Professional Are you a member of Autism Victoria trading as Amaze? No Yes If Yes, Member Number: Note: If you hold a professional membership, the maximum number of delegates you can register under this membership number is 5. If you would like to register more than 5 delegates from your organisation, please contact us to discuss pricing. If you hold an individual/family membership, the maximum number of delegates you can register under this membership number is 2. If you hold a pensioner/student membership, the maximum number of delegates you can register under this membership number is 1. Location: tick the location you are attending: Melbourne Albury-Wodonga Mildura Ballarat Shepparton Bendigo Traralgon Horsham Warrnambool Program, Privacy, Terms & Conditions: Conference Streams: for planning purposes we require an indication of which stream you are likely to spend most time attending. This does NOT restrict you to attend only this stream – you will be able to choose your sessions on the day. For more program information, see the conference website at www.amaze.org.au. Stream you are most likely to attend: Early Childhood Adolescence Primary School Years Adulthood Privacy: all information collected on this form will be used by Autism Victoria trading as Amaze and The Conference Manager to administer VAC2012. At the conclusion of the conference, all information will remain the confidential property of Autism Victoria trading as Amaze. Delegate details may be released to selected sponsors/ supporters of the conference with your permission: Tick here if you do not wish to have your details released to sponsors Tick here if you do not wish to receive any further correspondence from Autism Victoria trading as Amaze other than relating to the conference. Note: by returning this form you are agreeing to the Conditions of Registration (printed opposite). Payment Details: NB: Concession registrations must be accompanied by proof of status. Please include a copy of your DVA Concession card/CRN or student card with your form. Credit Card Payment Card type: VISA___ Mastercard___ Card No: Expiry Date Cheque Enclosed with Form ____ Cheques should be made payable to Autism Victoria Inc. Please invoice my company/organisation ____ Note: a confirmation letter and tax invoice will be emailed to you once your registration has been processed. The Victorian Autism Conference 2012 is presented by Autism Victoria trading as Amaze: W: www.amaze.org.au
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Melbourne - Amaze

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