ASCILITE 96 CONFERENCE

Registration Details

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ASCILITE MEMBERSHIP
Please send me a membership form
REGISTRATION (Check one)
Before 13th OctoberAfter 13th October
Non-Member Registration $350 $400
Member Registration $300 $350
Student Registration $160 $160
Day Registration $120 $120
EXTRA SOCIAL FUNCTION TICKETS
  • Extra Conference Dinner tickets @$50
    		•
  • Extra Welcoming Barbecue tickets @$15
    		•
    ACCOMMODATION
    St Marks College ($30 per night, bed and breakfast)

    Arrive Depart Number of nights

    Delegates are requested to include one night's accommodation fee as a deposit to secure the booking.

    Accommodation Deposit

    Please forward me details on alternative accommodation

    I wish to pay by Credit Card

    I enclose a cheque made payable to ASCILITE'96

    PAYMENT DETAILS
    SUBTOTALS Registration $
    Accommodation $
    Extra $
    TOTAL $
  • I wish to pay by credit card.

    Payment By

    • Name (exactly as on card):
    Card No: - - -
    Expiry Date:
    Cardholder's signature :
    (for fax copies only)

  • I enclose a cheque/money order made payable to ASCILITE '96.


    • A refund, less an administration charge of $50, will be made on cancellation provided that it is received by 15th November 1996. Thereafter, the full amount will be forfeited.
    ADDRESS
    ASCILITE '96
    Conference Secretariat
    Department of Mathematics
    The University of Adelaide
    South Australia 5005
    Phone: (08) 8303 5422
    Fax: (08) 8303 3696
    PLEASE NOTE:
    Conference details may change