AHAUCHI Conference 2008

Registration Form

* compulsory fields
SECTION A – DELEGATE DETAILS
Title:
Given Name: *
 Family name:*
Position:
 Organisation:
Post address::
Suburb:
 State:
Post Code :
 Country :
Phone (W): *
 Phone (H):
Fax:
Mobile:
Email: *

Special Requirements:
SECTION B – REGISTRATION DETAILS
REGISTRATION FEES (Inc GST)
Early Bird Fee ( by 11 August 2008)
Standard Fee ( after 11 August 2008)
Full Delegate Registration
$575
$620
Accompanying Partner Registration1
Partner's name:
$330
$360
Single Day Registration without dinner
( indicate appropriate day )
$125
$175
Single Day Registration with dinner
( indicate appropriate day )
$225
$275
SECTION C – ADDITIONAL DINNER TICKETS
  Qty Price (Inc GST)
Monday 29 September:  Ormond College (includes Reception at St Hildas College) $100
Wednesday 1 October: Newman College $75
 
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