[ About the Conference ] [ ASET-HERDSA 2000 Main ]

Flexible Learning for a Flexible Society

ASET-HERDSA Conference 2000
University of Southern Queensland, Toowoomba,
Sunday 2 July to Wednesday 5 July, 2000.

Conference Registration Form




Contact details:		 ASET-HERDSA 2000 Main Page
Title and name:
Please use format: title, first name, family name, eg Dr Skippy Kangaroo

Preferred name
for badge:
For example, Skippy, or Skippy Kangaroo, or Dr Kangaroo, etc.

Postal address:

Organisation:

Phone and fax: Work:    Home:

Fax:  

Email address:Please take particular care with this entry, because a copy of the output from this form is emailed to your address, as given below, in addition to the copy to USQ Meetings & Events.


Special: Please note any special requirements regarding health, diet, etc:


Partner's Program Please tick box if you wish to be sent more information on the Partner's Program.

Pre-Conference Tours Please tick box if you wish to be sent more information on Pre-Conference Tours.

Coach Transfer: For Coach Transfer participants only (see Registration Brochure) - give your flight details. Leave empty if not intending to use the Coach Transfer option.


Membership
I am a financial member of:
You must be a member, or must become a member,
in order to register - see [Registration Brochure].		 HERDSA
ASET

If you are not a member, please indicate whether you would like to join ASET or HERDSA. Tick the appropriate box and add the corresponding amount to your Grand Total payment.
In the case of current members of ASET (1999/2000), renewal for 2000/2001 may be made via this form, by ticking the ASET box below and adding $40 to your Grand Total payment.

ASET Membership 2000-2001$40
HERDSA Membership$105

Registration Select only one option
Earlybird Registration before 2 June
You go in the Draw for a mystery prize.		 $395
Standard Registration after 2 June 2 $425
Full Program Registration includes: Sessions, Conference Notes, Conference Satchel, all Lunches, Morning Teas, Afternoon Teas, Welcome Dinner and Conference Dinner on Tuesday night.
Single Day Registration
Day Registration includes: Day's Sessions, Conference Notes, Conference Satchel, Lunch, Morning Tea, Afternoon Tea. Please select the day.		 $165 Mon 3
Tues 4
Wed 5
Accommodation
Residential Colleges, USQ
I would like to book on campus accommodation (bed and breakfast) at $55.00 per night (tick each required night)		 $55 per night Sun 2
Mon 3
Tues 4
Wed 5
Enter total Res College accommodation payable:
(in the case of bookings for more than one person, the amount you enter here will indicate the number of persons)		$

Student Village Accommodation
I would like to book a room with Student Village at $35.00 per night (tick each required night)		 $35 per night Sun 2
Mon 3
Tues 4
Wed 5
Enter total Student Village accommodation payable:
(in the case of bookings for more than one person, the amount you enter here will indicate the number of persons)		$

Extra conference dinner tickets:
(if required, enter amount, rate $50.00 per extra person)		$

Grand total (all items as selected above)$

My payment method is [tick only one box]:
Credit card details via fax to USQ Meetings and Events (see Note 1 below)
Cheque/Credit Card via postal service to USQ Meetings and Events (see Note 2 below)
Credit Card details via this web page (enter details below)
Only for credit card payment via this page:
    Caution: This web server does not have facilities for secure, encrypted transmission. Please read the Notes below. If using this method all five rows must be completed correctly.
Card type:
(one of Visa, Mastercard, BankCard, American Express)
Name on Credit Card:
(name as imprinted on card)
Credit Card number:
(16 digits in four input boxes of 4 each)
Card expiry date:
(format mm/yy)
Amount to be debited (Aust $):
The amount you enter must correspond to that for all of the registration options you have selected above.

Have you read the Notes below? Have you proof read carefully?
Please double check before hitting the "Send It" button. Use "Reset" if necessary!

   

Thanks for your registration! It goes as an email message to the Conference Secretariat, USQ Meetings & Events. You will receive a server copy of the email, in the form of a text file display in your web reader. Save that as a text file. You will obtain another copy due to the form's output being emailed to your own email address, in addition to being emailed to USQ Meetings & Events. Remember that in the case of payments other than credit card via this web page, you must edit and print out the text file and undertake a further despatch by fax or post to USQ Meetings & Events to complete your registration.

Notes

All correspondence and inquiries should be directed to USQ Meetings & Events in the first instance. All registrations and payments will be administered by USQ Meetings & Events. All prices quoted are inclusive of the Goods and Services Tax (in effect from 1 July 2000).
  1. Contact: Kim Hamilton
    USQ Meetings & Events
    PO Box 282 Darling Heights Qld 4350 AUSTRALIA
    Ph: 61 7 4631 2940 Fax: 61 7 4635 5550
    Email: hamiltok@usq.edu.au

  2. All cheques to be made payable to: The University of Southern Queensland, Meetings & Events. To submit, see the postal address in 1. above.

  3. The text file which governs the output from this form may be inspected- see regis-form.txt (use your web reader's "Back" function to return to this form).
[ Registration Brochure ] [ About the Conference ] [ ASET-HERDSA 2000 Main ]
Last revision: 18 Mar 2000. HTML: Roger Atkinson [rjatkinson@bigpond.com]
This URL (form post inactive): http://www.aset.org.au/confs/aset-herdsa2000/admin/regis-form.html
Previous URL (form post active): http://cleo.murdoch.edu.au/gen/aset/confs/aset-herdsa2000/admin/regis-form.html