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registration & accommodation booking form

Delegate Particulars
Registration & Dinner
Accommodation Options
Payment Options
Submission Section


Regn only

Regn / Accom

Virtual Regn

Group Regn A

Accom / Dinner

please complete separate registration form for each person attending

 
 
   DELEGATE PARTICULARS

(1) Title: (e.g. Ms, Dr, Assoc. Prof.)
(2) Given Name
(3) Family Name

In this box enter your full name in your preferred order as you wish it to appear on correspondence and invoices - alternatively the default will apply, this being in the order of 1, 2, 3 as entered above

Position in organisation

Name of Institution / School / Organisation / Department

 

Address of above

 

Alternative/Home Address

 

Work Tel
Work Fax
Home Tel
Home Fax
Mobile
Email

Comments / Notes / Invoicing details, etc.

If you have any specific requests please advise us
(eg. Dietary requirements; Attendant care needs)

   REGISTRATION & DINNER - to book, tick appropriate boxes, fill in details, and enter $ amounts below

Registration    
- Evening Welcome Reception (Tues 16 July 2002)
- All Plenary and Parallel Sessions
- Lunches, Morning & Afternoon Teas for the 4 days of the conference (Wed 17 - Sat 20 July 2002)

Registration: $US 450.00 per person

If registration is paid in full by 31 January 2002, a rate of $US 395.00 will apply

$US Total Registration amount

Use separate form for each person registering to attend the conference


Conference Dinner    
The Conference Dinner is an optional extra and will be held on Friday 19 July beside the water fountains of the Friendship Hotel forecourt

Conference Dinner: $US 55.00 per person

$US Total Dinner amount

When booking dinner for additional person/s (ie, family member not attending conference)

enter number of dinner bookings here and use the box below to note name/s

NAMES

   ACCOMMODATION OPTIONS - to book, tick appropriate boxes, fill in details, and enter $ amounts below

Delegates who wish to take up the twin-share option but do not have a co-traveller can still be accommodated

simply tick this box , complete the next section, ACCOMMODATION OPTIONS, and you will be allocated a twin room to share with another delegate and be advised

ACCOMMODATION OPTION 1
Beijing Friendship Hotel (click here for information)
SINGLE: $USD 80.00 per night (including breakfast & service taxes)
TWIN-SHARE: $USD 40.00 per person per night (including breakfast & service taxes)
Check-in Date
Check-out Date
Number of Nights
Number of Rooms

Name/s of guest/s to be accommodated in each room

Special requirements (eg. Dietary ; Attendant care needs)
ACCOMMODATION OPTION 2
Beijing Olympic Hotel (click here for information)
SINGLE: $USD 52.00 per night (including breakfast & service taxes)
TWIN-SHARE: $USD 26.00 per person per night (including breakfast & service taxes)
Check-in Date
Check-out Date
Number of Nights
Number of Rooms

Name/s of guest/s to be accommodated in each room

Special requirements (eg. Dietary ; Attendant care needs)
$US
Total Friendship Hotel Accommodation Cost
$US
Total Olympic Hotel Accommodation Cost

    Payment Options (choose one from the Cheque or Credit Card options below)

    PAY BY CHEQUE

     in the amount of: $US

     cheque to be made payable to:

'Common Ground Conferences'

POST TO:
Learning Conference 2002
PO Box K481 Haymarket NSW
AUSTRALIA 2000


Conference managed by
Common Ground Conferences

     

    PAY BY CREDIT CARD

I authorise the amount of $US to be processed on my credit card

Card Type: (nominate card below )

Mastercard   Bankcard  Visa   Amex 

Cardholder's Name

Credit Card Number

Expiry Date (MM/YY)

Current Date (DD/MM/YY)

 
        Signature: __________________________
(If submitting a printed form) 
 
 

Australian Federal Goods and Services Tax:
GST not applicable
   
Please note that submitting this form does not result in an automatic transfer of funds from your credit card account. The transaction is processed manually only after the final cost has been confirmed - an invoice will be issued and confirmation of your credit card authorisation will be sent to you.
 
    TO REGISTER AND PAY BY CHEQUE:     TO REGISTER AND PAY BY CREDIT CARD:  
 
  • Register electronically by completing this form & pressing the submit button.
  • Your registration will be acknowledged by email and an invoice forwarded to facilitate your payment.
  • Confirmation will be made upon receipt of your payment in the post.
   
  • Complete this form and press the submit button.
  • Acknowledgment will be sent by email and confirmed in the post.
  • Alternatively, print a copy of the completed form
    and fax to (+61) 02 9591 5762
    or post to: Learning Conference 2002  
    PO Box K481 Haymarket NSW AUSTRALIA 2000.
 

Please complete this last section before submitting form:

FULL NAME (required):

COUNTRY:

EMAIL (required):

 

- Once you have checked your entries on this form and completed this section, press the <Submit> button once only.
- The contents of your submission will appear in your browser window and you may print a copy for your records.
- Your submission will be processed and an acknowledgement/confirmation, together with the full submission details, will be sent to you by email.
- Should you need to make any changes, this may be done after you have received the email.


LC 2002 | About | Themes | Speakers | Host University | Registration | Call for Papers | Papers & Workshops | Program

Accommodation/Venue | Tours | Organisers | Contact | Links | Archive | Photo Gallery | Common Ground | Visas | HOME


Learning Conference 2002, PO Box K481 Haymarket NSW AUSTRALIA 2000
Tel: +61 (0)2 9591 5661    FAX to: +61 (0)2 9591 5762

Regn only

Regn & Accom

Virtual Regn

Group Regn A

Accom / Dinner only

 

Cancellation Policy on registration, accommodation , dinner: To 30 June 2002, 85% refund. After 30 June 2002, 60%