Registration form / Tax Invoice for 14 AFMC

Adelaide University, ABN: 61 249 878 937

This document becomes a Tax Invoice for GST upon payment.

Please photocopy and retain for your records

Personal Details:

Title: Family Name:

Other Names:

Preferred Name for Badge:

Organisation:

Address:

Email:

Phone: Fax:

Registration Options:

Please tick the options you wish to take (follow links for more information):

Early Bird Rate: until October 31: $580 + $58 GST

Standard Rate: Nov 1 – Nov 16: $600 + $60 GST

Late Rate: after Nov 17: $630 + $63 GST

Student Registration (incl. lunches & receptions):$290 + $29 GST

Welcome Reception (Sunday 9th) complementary

Farewell Reception (Friday 14th) complementary

BBQ Lunch for registrant (Wed 12th) complementary

BBQ Lunch for Guest/s (Wed 12th) @ … x $19.09 + $1.91 GST

Warrawong Dinner and Walk (Tue 11 Dec): @ … x $53.64 +$5.36 GST

Winery Tour (Wed afternoon 12 Dec) @ … x $22.73 + $2.27 GST:

Banquet (Thursday 13th) @ … x $62.73 + $6.27 GST:

Tick if you would like vegetarian meals (no animal products)

Hard copy of proceedings (black and white): @ … x $120 + $12 GST

(Note a CD of proceedings is complementary with registration)

TOTAL (AU $):

Payment Details:

Please tick preferred payment option:

(All payments to be made in Australian Dollars, AU $)

Cheque enclosed (Made payable to: 14AFMC)

Mastercard Visa Bankcard

Credit Card Number:

Expiry Date: …………………………………………….

Cardholder Name:

Amount:

Signature:

Cancellation Policy:

Unfortunately no refunds will be possible after 31 October 2001 but you are welcome to send a substitute delegate.

Booking Accommodation is your responsibility:

Recommended accommodation is listed on the web site. Identify yourself as an AFMC delegate when you book to receive reduced rates. Please advise us of your chosen accommodation by ticking the appropriate box. This will assist organisation of transport:

Lincoln College

The Mansions

Raddison Playford Hotel

Grosvenor Vista Hotel

Other

Paper:

Papers will only be published in the proceedings if they are presented by a registered author or nominated substitute. Please list all paper numbers which you will present:

Presenting a paper - Paper #

Not presenting

Please return to:

By Post:

The Secretariat

14AFMC

Department of Mechanical Engineering

ADELAIDE UNIVERSITY SA 5005

AUSTRALIA

By Fax:

International +61-8-8303 4367

Inside Australia (08) 8303 4367

By Email:

afmc@mecheng.adelaide.edu.au

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