Registration:

For full details refer to the 'Programme & Registration' Brochure

PERSONAL DETAILS (PLEASE PRINT CLEARLY)

These details will be used to generate name badges.

Title:
First Name:
Last Name:
Organisation:
Postal Address:

(Suburb State Postcode )
Phone:
Fax:

ACCOMPANYING PERSON'S NAME (REGISTERED)

SPECIAL REQUIREMENTS

Indicate any requirements such as diet, access etc.

CONFERENCE REGISTRATION

Registrations received before the 1/12/1999 are considered early. Any registrations after this date are considered late.

Received Early Late
Full Registration $500.00 $600.00
Student Registration $250.00 $300.00
Day Registration $175.00 $175.00
Please tick Mon Tues Thurs Fri
Accompanying People $100.00
REGISTRATION SUB-TOTAL

SOCIAL FUNCTIONS

Full Registrations

Welcome reception is included, but Ice Breaker and Conference banquet are NOT included in full & student registration

Welcome Reception (Inclusive)
Ice Breaker $35.00
Conference Evening Banquet $85.00

Additional Tickets

Please indicate the number of tickets you require:

Welcome Reception $30.00x =
Conference Evening Banquet
$85.00x
=
Ice Breaker $35.00x =
SOCIAL FUNCTIONS SUB-TOTAL

EXCURSIONS, 9/2/2000

Please indicate the number of tickets you require

Fish Farm Tour $ 90.00 x =
Port Arthur/Bush Mill $ 65.00 x =
Bonorong/Richmond $ 35.00 x =
Mt Field National Park $ 50.00 x =
Oyster Culture $ 50.00 x =
Mt Wellington Walk $ 20.00 x =
TOURS SUB-TOTAL

ACCOMMODATION

Only complete this section if you require Conference Design to make a booking on your behalf. A deposit of $100.00 is required to confirm your booking.

Please indicate your preferences 1, 2, 3, 4 ....

Wrest Point Tower $155 1234
Wrest Point Motor Inn $109 1234
Clydesdale House $90/110 1234
Merre Be's $105/120 1234
Hotel Vista $90 1234
Sandy Bay Motor Inn $80/90 1234
Hadleys Hotel $93 1234
Prince of Wales Hotel $65/85 1234
Christ College $45 1234
Woolmers Inn (1 Bed Apt.) $TBA 1234
(2 bedroom apartment) $TBA 1234
Room: Single Twin Double
Date of arrival:
Date of departure:
Sharing with:

Special Requests: Smoking: Non-Smoking:
ACCOMMODATION SUB-TOTAL
Deposit ($100.00)

AIRFARES

Only complete the following sections if applicable.

1. Please book the following airfares:

Only complete this section if you require Conference Design to make a booking on your behalf.

To: HOBART
Departure From:
Departure Date:
Departure Time:
From : HOBART
Departure From:
Departure Date:
Departure Time:
Travel Insurance $18.00 per ticket
AIRFARES SUB-TOTAL

PRESENTATION

Please select preferred form of presentation:

Title of presentation:

Please complete Abstract on a separate form.

PAYMENT SUMMARY

Registration Sub-total:
Social Functions Sub-total:
Tours Sub-total:
Accommodation Sub-total: $100.00
Airfares Sub-Total:
TOTAL

I remit the above mentioned total amount in Australian Dollars through bank draft/credit card.

Cheques: Payable to: "Algal Blooms 2000 Conference"

Credit Cards:

Card Type: Expiry:
Cardholder:
Card Number:
Signed:

Please print this form and send it to:

Conference Design Pty. Ltd., PO Box 342, Sandy Bay, Tasmania, Australia 7006.
Telephone: +61 3 6224 3773.
Fax: +61 3 6224 3774.
Email: mail@cdesign.com.au.

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