exercise your mind, stretch your boundaries - from the Journal of ...
exercise your mind, stretch your boundaries - from the Journal of ...
exercise your mind, stretch your boundaries - from the Journal of ...
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Esplanade Hotel,<br />
Fremantle Western Australia<br />
March 27 – 29 2008<br />
<br />
<br />
<br />
Registration Form<br />
TAX INVOICE : ABN 27091290505<br />
PLEASE PRINT OR TYPE AND COMPLETE ALL RELEVANT SECTIONS<br />
IF MORE THAN ONE DELEGATE, PLEASE PHOTOCOPY THE BLANK FORM AND COMPLETE<br />
Return with payment as soon as possible to:<br />
Conference Solutions, PO Box 238, Deakin West ACT 2600 or P. 02 6285 3000 F. 02 6285 3001<br />
SECTION A: CONFERENCE REGISTRATION<br />
SURNAME<br />
FIRST NAME<br />
TITLE<br />
POSITION<br />
ORGANISATION<br />
MAILING ADDRESS<br />
CITY/STATE<br />
COUNTRY<br />
POSTCODE<br />
TELEPHONE<br />
FACSIMILE<br />
EMAIL<br />
PREFERRED NAME FOR NAME BADGE<br />
Registration fees: please tick applicable and mark sub-total<br />
Early Registration<br />
Standard Registration<br />
Received by 19 December 2007 Received after 19 December 2007<br />
Member $695 Member $775<br />
Non-Member $795 Non-Member $895<br />
Undergraduate student $400 Undergraduate student $400<br />
Day Registration $320 Day Registration $320<br />
Conference Procedings Booklet<br />
Conference Procedings Booklet<br />
Conference Procedings CD<br />
Registration fees include:<br />
COPIES @ $40 EACH<br />
Attendance at all conference sessions<br />
Conference Procedings CD<br />
sub-total $ sub-total $<br />
Welcome Reception on Thursday 27 March - (excluded in Day Registration)<br />
Morning/afternoon teas and lunches as per <strong>the</strong> program<br />
Name badge, satchel and conference materials<br />
Access to <strong>the</strong> trade exhibition during advertised times<br />
COPIES @ $40 EACH<br />
COPIES @ $40 EACH<br />
COPIES @ $40 EACH<br />
SECTION B: SPECIAL REQUIREMENTS<br />
Note any special requirements regarding health, physical disabilities, diet etc.<br />
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