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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 />

13

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