| Title
* |
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First Name |
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Family Name
* |
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Badge Name |
(only if different from above)
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Job Title |
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Department |
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Organisation
* |
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Business Phone* |
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Business Fax
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Mobile Phone |
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E-Mail Address * |
please check, all event correspondence
will go to this address |
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Special Dietary Requirements |
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| Special Hotel Requirements
|
disabilities only |
|
Send Correspondence |
E-Mail
|
Fax
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Accompanying Person Information
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|
Title |
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First Name |
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Surname |
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Badge Name |
(only if different from above)
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Special Dietary Requirements |
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Full Registration Information
All DAY FRIDAY AND SATURDAY (PLENARIES
AND STREAMS) MORNING & AFTERNOON TEAS & LUNCHES on
FRIDAY AND SATURDAY, WELCOME FUNCTION, ABSTACTS, BADGES
AND DELEGATE SATCHEL.
View all registration fees
Early Bird
Specials have closed
This section is for full
registration (includes Friday and Saturday) |
| Registration Type |
|
Registration Amount Due ($AUD) |
|
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We will contact you later regarding the Optional
Workshops on Thursday afternoon, |
|
|
This section is for those who want to attend
optional workshops on
Thursday
or book;
Day
Only Registration, book Optional Dinner Ticket(s) or Extra
Welcome Function Ticket(s)
|
| Day Registration
& Workshops, Tickets |
|
|
Amount Due ($AUD)
|
|
| Day Registration
& Workshops, Tickets |
|
|
Amount Due ($AUD) |
|
| Day Registration
& Workshops, Tickets |
|
|
Amount Due ($AUD) |
|
| Day Registration
& Workshops, Tickets |
|
|
Amount Due ($AUD)
|
|
| |
| | |
|
Total Registration Amount Due ($AUD)
| |
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Hotel Booking Information - Host venue is the Holiday
Inn - Surfers Paradise |
|
Hotel Rates: Single $150-
Double/Twin $150 - All prices are per
room per night.
Please note:
if sharing a room split deposit payments for
accommodation will not be accepted. You need to pay
the first night as a deposit, the balance can be paid Hotel bills
can be settled on check out.
DO NOT book a
room if you are sharing with another person with a room
booking. All room booking deposits must be paid by
cheque or CC guarantee to confirm the booking.
Please note all conference
accommodation allotments are now full. If you need
accommodation please try www.wotif.com.au |
|
Hotel |
|
Room Type |
|
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Arrival Date |
|
Arrival Time |
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Departure Date |
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Sharing room with nominated accompanying person |
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Special Requirements |
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| Hotel Deposit Due ($AUD) |
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| Payment Method -
please indicate your preference(s) |
|
Electronic
Transfer
BSB 084 462
Account No 56003 1278
Acc Name: GC
Mental Health Conference
You must fax a copy of the receipt to
07 55285291 and include the delegates
name(s) and
contact details. |
Cheque
AST
Management Conference Account
Conference Secretariat
PO Box 10508 Southport BC 4215,
Queensland Australia |
Credit Card
You will be
sent the link to the payment gateway with your tax
invoice. |