Registration

Fifth International Symposium on Tropospheric Profiling: Registration Form

To register, please print this page or (better) download it in either PDF or Postscript format, fill in the details and fax or mail to the conference organisers.

Name:	Prof	Dr	Mr	Ms
Name:	Family Name: .............................................				Given Name: .............................................
Student:	Yes	No

Organization/Affiliation: .............................................................................................
Contact Address:		........................................................................................................
		........................................................................................................
		........................................................................................................
	Post/Zip Code:	........................................	Country:	........................................
	Phone Number:	........................................	Fax Number:	........................................
	Email Address:	......................................................................................................

Arrival Schedule (if known):	Date: ..............................	Time: ..............................
Name of Accompanying Person:

Name:	Prof	Dr	Mr	Ms
Name:	Family Name: .............................................				Given Name: .............................................

Accommodation:	We remind you that the BOOKING OF ACCOMMODATION IS YOUR RESPONSIBILITY. Please check the Accommodation web page Please make a booking by November 1st 2000. Accommodation held for this conference will be released after this date.

Number Attending Dinner:	....................	(Cost included in registration fee) Cost of dinner and winery tour for non registrants: $110
Registration Fee:

	Payment received by 1 November 2000	Payment received after 1 November 2000
Full Fee	$475	$525
Student Fee	$240	$290
Accompanying Person	$110	$160

Method of payment:

ALL PAYMENT MUST BE IN AUSTRALIAN DOLLARS.

Payment of the registration fee may be made in the following ways:

1. By credit card (MasterCard or VISA).

2. By direct transfer of the correct sum to the account stated below.

3. By Cheque made payable to Profiler Conference

4. At the registration desk as cash or cheque
PLEASE NOTE there will be a late fee of $50.

Payment:

Full Registration:

$................................

Student Registration:

$................................

Accompanying Person:

$................................

Total Amount:

$................................

Credit Card

Charge to my credit card

Master Card

VISA

Card No ................................

Expiry Date ..............

Authorized Signature ..................................................

Name as shown on card .............................................

I have transferred ................... Australian Dollars (free of all charges to the recipient)
To Bank SA, Adelaide University, BSB 105-120, Account 21201440

Cheque in Australian Dollar, payable to Profiler Conference

Either fax to: Secure Fax number:- (+618) 8303 4384

Or mail to:

Profiler Symposium

Department of Physics and Mathematical Physics

University of Adelaide

Adelaide 5005

Australia

e:mail: profiler@physics.adelaide.edu.au