| Name: | |||||||||
| Organisation: | |||||||||
| Postal address: | |||||||||
| Suburb: | State: | Postcode: | |||||||
| Phone
(wk hrs): |
Fax: | ||||||||
| Email: | |||||||||
| Preferred Name on badge: | Mr
Mrs Dr Miss Ms Prof |
||||||||
Please tick the appropriate box(es) and indicate the number (if any) of extra dinner tickets for accompanying persons. Calculate the fees payable in the column provided, then calculate the total of the Fees Payable column to find the total Registration Fee Payable. As indicated, early registrations are to be received by 31st July 2001, otherwise full registration fees apply. (Fees inclusive of GST)
|
REGISTRATION FEES |
WORKSHOP ONLY |
CONFERENCE ONLY |
CONFERENCE/WORKSHOP |
Fees Payable |
|
Member early |
$200 |
$240 |
$420 |
|
|
Member |
$220 |
$260 |
$460 |
|
|
Non-member
early |
$220 |
$260 |
$450 |
|
|
Non-Member |
$240 |
$290 |
$500 |
|
|
Extra Dinners |
$90 (___) |
$100 (___) |
$190 (___) |
|
|
Student |
$110 |
$130 |
$230 |
|
|
Student dinners |
$45 |
$55 |
$100 |
|
|
Total Registration Fee Payable =$ |
||||
Please make cheques payable to "ASFB Inc Bunbury 2001"
Or pay by Credit Card and fill in card details below
Please charge this purchase to my : (please circle) Bankcard | Mastercard | Visa
| Card No: | Expiry Date: | |||
| Name on Card: | ||||
| Address of Cardholder: | ||||
| Signature: | Date: | |||
Conference Presentations (please indicate the type of your presentation)
Presentation Type
Paper (Oral)
Poster
Student Awards (please tick if you would like to be considered for one of the following awards)
Gilbert Whitley Award (Oral)
Senior
Junior
John Lake Award (Poster) Senior Junior John Glover Travel Fund Special Dietary Requirements
Please indicate below if you have any special dietary requirements. Every effort will be made to accommodate your requirements, but we need to know now.
Lay-Day Seminars/Meetings/Workshops
Please indicate your interest in attending one of the seminars/meetings/workshops to be held on the lay-day, Tuesday 25th September 2001:
Workshop:
Meeting: Other: Registration Checklist
Have you:
- Checked your membership is current?(If unsure contact Adrian Toovey via email <tooveya@fisheries.nsw.gov.au>)
- Completed the registration form?
- Kept a copy for yourself?
- Enclosed your cheque or given all the details for credit card payment?
- Submitted your abstract by 31st July 2001?
- Organised your travel (plane/train/car hire)?
- Told us of special dietary requirements?
- Enclosed evidence of full time student eligibility? (Members who are employed full-time and enrolled for higher degrees through their work are requested to pay full registration costs.)
- Booked yourself in for one of the tours on the lay-day?
- Booked your accommodation by contacting your preferred hotel?
Mail to: Danelle McCoy, ASFB Inc., c/- Department of Fisheries, PO Box 20, North Beach WA 6920, Australia
Or Fax: +61 8 9447 3062 (Please mark "Attention D. McCoy")