REGISTRATION FORM
(One form per person - photocopies acceptable) PLEASE READ CAREFULLY
Section A: PARTICIPANT PERSONAL DETAILS
Surname_________________________________ Initial_____ First Name___________________
Title (Dr/Mr/Mrs/Ms/Miss, etc)________________ Name for lapel badge________________
Position__________________________________________________________________________
Organisation______________________________________________________________________
Address_________________________________________ Suburb__________________ State________ Postcode_____
Telephone: Business: ( ) _______________________ Private: ( ) ____________________ Facsimile: ( )_____________________
E-mail: (please print)_________________________________________________
Section B: CONFERENCE PLANNING - CONCURRENT SESSIONS
I. Tutorials: Tutorial attendance is limited. Requests will be processed on a first come first serve basis. Please mark the tutorials within each group in order of preference, starting with 1, so that you may be assured of a productive session.
Monday, 14 September 1998 9:00am - 5:00pm 9:00 am - 1:00pm 1:30pm - 5:30pm T01 [ ] T02 [ ] T05 [ ] T03 [ ] T06 [ ] T04 [ ] T07 [ ] Tuesday, 15 September 1998 9:00 am - 5:00pm 9:00 am - 1:00pm 1:30pm - 5:30pm T10 [ ] T12 [ ] T09 [ ] T11 [ ] T13 [ ]
II. Conference Programme - Registrants not attending entire conference, please indicate day/s attending:
Wednesday 16 September 1998 [ ] Thursday 17 September 1998 [ ] Friday 18 September 1998 [ ]
To assist us in planning adequate seating at sessions, would ALL registrants indicate which of the concurrent sessions you wish to attend:
WEDNESDAY 16 SEPTEMBER 1998 1400 - 1530 101[ ] 102[ ] THURSDAY 17 SEPTEMBER 1998 1100 - 1230 201[ ] 202[ ] 1400 - 1530 203[ ] 204[ ] FRIDAY 18 SEPTEMBER 1998 1100 - 1230 301[ ] 302[ ] 1400 - 1530 303[ ] 304[ ]
Section C: ACCOMMODATION - Please make reservations for me as follows:
Arrival Date ____/____/98 Departure Date ____/____/98
Sgl/Dbl SingleDbl/Twin Share with Amount Hilton Sydney $210.00 [ ] [ ] ___________________ A$.......... Park Regis $110.00 [ ] [ ] ___________________ A$.......... YWCA Sydney $ 60.00 [ ] ___________________ A$..........
Section D: PAYMENT OF FEES* Included in full registrations.
Registration Fee By Aug 22 After Aug 22 1998 1998 TUTORIALS Member+ Half Day Tutorial $200.00 $300.00 A$............. Member+ Full Day Tutorial $300.00 $400.00 A$............. Non Member+ Half Day Tutorial $350.00 $450.00 A$............. Non Member+ Full Day Tutorial $450.00 $550.00 A$.............
CONFERENCE REGISTRATIONS
Members AUUG Inc. $650.00 $750.00 A$.............. Members ISOC, SAGE, Uniforum NZ $750.00 $850.00 A$.............. Non-Members $800.00 $900.00 A$.............. Member Day Registration (per day) $250.00 $350.00 A$.............. Non-Member Day Registration (per day) $350.00 $450.00 A$.............. Student Discount(unwaged) on production of ID number............. $180.00 $280.00 A$.............. AUUG Inc. Membership Individuals $100.00 A$.............. Corporate $390.00 A$.............. Student $ 25.00 A$.............. Date Event Cost (A$) No. Persons (ADDITIONAL PERSONS ONLY) Wednesday 16 September Networking Reception* $ 45.00 ........ A$............. Thursday 17 September Conference Dinner* $ 95.00 ........ A$............. ========================= Cheques payable to: AUUG 98 TOTAL PAYMENT A$............. ========================= Please charge my Credit Card: Amex ( ) Bankcard ( ) Mastercard ( ) Visa ( ) No..........................................Expires:................... Signature.....................................................Credit Card in name of:................................................................ Please note that I would like my meals to be: Vegetarian [ ] Other:................................................ (please specify)
NOTE: This Registration Form serves as an invoice. Registrations accompanied by total payment only will be processed in order of receipt. Please print this form and return it, plus your cheque/payment to:
AUUG 98 Conference and Exhibition
P.O. Box 468, Paddington. N.S.W. 2021, 70 Glenmore Road, Paddington. NSW 2021, Australia.
TELEPHONE: (02) 9332 4622 FACSIMILE: (02) 9332 4066E-mail: swfoda@acms.com.au
FOR OFFICE USE ONLY: Record No. Date Received / /98 Amount paid A$ Date Confirmed / /98 Remarks________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________