Delegate Registration Form - CAPA

Delegate Registration Form
Delegate 1
How did you hear about this conference?
Mr/ Mrs/ Ms Surname: First name(s):
Job title:
Company:
Address:
Tel:
Fax:
Email:
Please complete page 2 of this registration form to add details of additional delegates and for registration conditions.
Aviation Outlook Summit 2006
QTY Type Registration Fee TOTAL
2 Day Conference Pass c US$1,275.00
Essential Outlook Pass
c US$2,500.00
Group Conference Discount
* Four delegates for the price of three
c US$3,825.00
Bank charge - for telegraphic transfers only
Total Due
US$20.00
Registration - 2 Day Conference Pass includes two days of conference sessions, lunch and
coffee breaks on both days, a Welcome Reception and an invitation to the CAPA Aviation Awards
for Excellence Gala Dinner.
Will you be attending the:
(Please tick P)
Welcome Reception (8 November)? c Yes c No
Aviation Awards Gala Dinner (9 November)? c Yes c No
Payment Options (Please tick P)
~ Please note, a US$50 per delegate discount applies for all bookings made online at www.centreforaviation.com
c Telegraphic transfer
Centre for Asia Pacific Aviation P/L - Westpac Sydney Office, 341 George St, Sydney, NSW 2000, Australia
BSB: 032 000 Acct: 92 1615 Swiftcode: WPACAU2S
c Credit Card c Mastercard c Visa c AmEx (4 digit I.D.):
Card Number: Expiry: /
Amount: US$
Name on Card:
Card billing address:
Signature:
Fax to +61 2 9241 3400
Register online at www.centreforaviation.com
Email Felicity Thomas: ft@centreforaviation.com

Delegate 2
Mr/ Mrs/ Ms Surname: First name(s):
Company:
Job Title:
Email:
Tel:
Fax:
Delegate 3
Mr/ Mrs/ Ms Surname: First name(s):
Company:
Job Title:
Email:
Tel:
Fax:
Delegate 4
Mr/ Mrs/ Ms Surname: First name(s):
Company:
Job Title:
Email:
Tel:
Fax:
Terms & conditions
• Payment must be received in advance and registration is confirmed upon receipt of payment.
• If payment is not received on time, delegates will be required to pay on-site or provide proof of payment (telegraphic transfer) before being admitted.
• Cancellations must be made in writing to the Centre for Asia Pacific Aviation. Phone cancellation will not be accepted.
• Registration fees cannot be refunded after 26 October 2006. Refunds will be based on date of receipt of the written cancellation and will be issued as
follows:
- 45 days prior to the start date of the event - 100% of the registered amount less USD50 administration fee;
- 14-44 days prior to the start date of the event - 50% refund of the registered amount;
- less than 14 days prior to the start date of the event - no refund.
• Registrations are strictly non-transferable from the 8th of November 2006.
• The Centre for Asia Pacific Aviation reserves the right to amend or cancel the programme schedule, speakers or topics without prior notice to participants.
Fax to +61 2 9241 3400
Register online at www.centreforaviation.com
Email Felicity Thomas: ft@centreforaviation.com