REGISTRATION

Section 1: Personal Information

Title
Given Name
Family Name
Institution
Street Address
Town/Suburb
State
Post Code
Country
Telephone
Email

Preferred name for name card at conference
Are you intending to be a presenter at the conference?		Yes No

Section 2: Registration type

Registration includes morning tea, lunch and afternoon tea.
Students must fill in their details below for proof of eligibility.

Standard registration (registration submitted by 1 April, 2005)

Conference registration (Aus $495.00)

Conference student registration (Aus $320)

Late registration (registration submitted after 1 April, 2005)

Conference registration (Aus $520.00)

Conference student registration (Aus $320)

Student details

Student ID
Institution

Day registration (Aus $150 per day) (please specify days)

July 18

July 19

July 20 (Language in Education day)

July 21

July 22

Section 3: Registration for conference dinner

The conference dinner will be held on Thursday, 21 July in the Restaurant, Level 7 Building 10, at the University of Technology (UTS) which is a short walking distance from University of Sydney. This will be a buffet style dinner with a selection of Modern Australian dishes, including seafood, meat and vegetarian. Bar open from 6pm; dinner at 7.30pm.

Cost of dinner: Aus$60.00 (not including drinks)

I would like to register for the conference dinner

Payment

I would like to pay by: Credit Card Cheque