Phone: +61 3 9344-6105
Fax: +61 3 9344-6122
Name: ............................................................Affiliation: .....................................................
Address: .........................................................
..................................................................
.................................Postcode: .......................
Phone: ....................... Fax: ............................
Email: ...........................................................
Preferred name for badge: ........................................
Vegetarian conference dinner required: Yes / No
Circle the registration type required. A list of CSA-member Departments appears here; if your department is not listed you should pay the full registration fee.
Full CSA-member StudentA late fee of $50 applies to registrations received after 15 December 1995. Note also that it may not be possible to guarantee dinner tickets to late registrants.ADC only ....$250.............$235...........$120......
CATS only ....$250.............$235...........$120......
ACSC only ....$305.............$290...........$145......
ADC and ACSC joint ....$465.............$435...........$220......
CATS and ACSC joint ....$465.............$435...........$220......
Extra ADC proceedings ($30 each): ................................Extra CATS proceedings ($30 each): ...............................
Extra ADC/CATS dinner tickets ($50 each): ........................
Extra ACSC dinner tickets ($50 each): ............................
Circle the tutorials you wish to register for, and the registration fee that is applicable. The tutorial registration codes are listed in the tutorial information page. A list of CSA-member Departments appears here; if your department is not listed you should pay the full registration fee.
Registration Codes ....MA1.........MA2.........MP1.........MP2...Tutorials are offered subject to minimum enrolment numbers; if you wish to enrol in tutorials please return this registration form by 1 December 1995. Confirmation of tutorial enrolment will be made shortly thereafter; if any tutorials are cancelled because of insufficient enrolments, full refunds will be made.....TA1.........TA2.........TP1.........TP2...
Full CSA-member Student
One tutorial ....$140.............$120........... $60......
Two tutorials ....$240.............$220...........$110......
Three tutorials ....$340.............$320...........$160......
Four Tutorials ....$440.............$420...........$210......
Date of arrival: .................................................Date of departure: ...............................................
Total nights required: ...........................................
Institution: ......... ...........................................Supervisor's name: ...............................................
Supervisor's signature: ..........................................
Conference registration fee: ................$Confirmation of payment will be mailed upon receipt of the registration fee.Extra proceedings for CATS or ADC: ..........$
Extra dinner tickets for ADC+CATS or ACSC: ..$
Late Fee (if applicable): ...................$
Tutorial registration fee: ..................$
Accommodation fee: ..........................$
Total amount paid: ..........................$
Credit card number: ....................... Exp date: ...........
Credit card type: .........Visa..........M'card.........B'card....
Card holder name: ................................................
Signature: .......................................................