Registration Form:


Please note that items marked with an asterisk (*) are mandatory!

Personal Details:
* Title: Prof Dr Assoc. Prof Assist. Prof Mr Ms/Miss/Mrs

* Surname:

* First Name:

Preferred Name (for name tag):

* Affiliation:

* E-mail:


* Postal address (keep text in area of the box provided):

Telephone:   

Fax:            

Position: Graduate Student PDF Academic staff Other
If 'Other', please specify:


Presentation Details:

Deadline for abstract submission is 1st June, 2010.

* Do you wish to give a talk at the workshop?
No Yes

If so, please provide a title and, if possible, a SHORT abstract:
(Please keep text within area of the provided box)

Title / Abstract:

Will you be bringing a laptop? (default set to YES).
No Yes


Registration Details:

Details for registration can be found here (open in new window).

 Early Bird Registration Fee:AUD$500Before 15th July, 2010
Late Registration Fee:AUD$650After 15th July, 2010
Late registration payable by credit card up to 20th September, or by cash only at the workshop.

A cancellation fee of AUD$150 will apply to any cancellations made after
20th August, 2010 and no refunds will be given after 3rd September, 2010.

Please choose from the following options:

Early Bird Registration:
I will pay by:   Credit Card   Cheque   EFT

Late Registration.

The credit card authorization form can be found here.


Travel Information -- (arrival/departure at/from CAIRNS airport):
(click calendar to select dates)

* Arrival date: Click Here to select date

* Arrival time (24hr clock):
* Departure date: Click Here to select date

* Departure time (24hr clock):

Accompanying guest information (default set to no):

I will NOT have accompanying guests.

I will have accompanying guests. If so, please provide the names of your guests for booking purposes: 

Number of accompanying guests: 


Accommodation Details:

For a printable copy of these rates and some pictures, please see this PDF file

Please note that this is not a booking for your accommodation.

Your accommodation booking is your own responsibility.

To book accommmodation, follow the directions on the accommodation page: here (open in new window).

Accommodation:

* To allow us to keep track of numbers, please answer the following: (default NOT set).

  I ...     (or)   I and my guest(s) ...
    will attend the conference reception
      (no cost for accompanying guest)
    will not attend the conference reception

  I ...    (or)   I and my guest(s) ...
    will attend the conference dinner
      (a subsidised cost of AUD$115
       applies for accompanying guest
)
    will not attend the conference dinner

Additional Information:
Please enter any special requests such as dietary preferences,
children's accommodation requirements etc., keeping the text within the
area of the box provided.




PLEASE NOTE: Make sure that ALL mandatory fields (marked with an asterisk (*) )
are entered, as this form will not be saved if not completed correctly!



I have reviewed this form:  YES  NO

or the form.





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