"Bioastronomy 2002: Life Among the Stars" Great Barrier Reef, 8-12 July, 2002
Registration Form

 * Please note all fees include the Australian government tax (GST) of 10% and prices are quoted in AUSTRALIAN DOLLARS. One US dollar converts to (approximately) two Australian dollars

Type form on web page, print and fax to (02) 9850 8351 (overseas: +61 2 9850 8351)

Title
First name
Surname
Organisation
Address
City/Town State
Postcode/zip code Country
Telephone number
Email address
Accompanying person(s) name(s)
 
 
Special requests (including dietary)


REGISTRATION (includes conference kit, reception July 7, morning/ afternoon teas and lunches July 8-12 inclusive,  proceedings, entry into both Bioastronomy and Fulbright symposia)
Before May 15 delegates $440 After May 15 $480
 Before May 15 student rate $220   After May 15 $240 
Single day registration: $100 per day
Total for registration

 

ACCOMPANYING PERSONS

 Carry forward to (1) below

* NOTE: NO ON-SITE REGISTRATION AVAILABLE *

 
No participation  FREE
Reception only $60 per person Carry forward to (2) below


OPTIONAL EVENTS

  
Gala dinner July 12 $80 per ticket  x  tickets          = total $
Barrier Reef day trip $115 inc. lunch  x adult tickets  = total $
Reef trip: children aged 3-14 $77  x child tickets  = total $
Total for optional events $ Carry forward to (3) below

TOTAL FEES (in Australian dollars)

Registration fees (1)

$

Accompanying persons (2)

 $

Optional events (3)

 $

    TOTALd (1) (2) and (3)

 $
Payment:

Credit Card details:

Card Type (Please indicate): Visa Amex Diners Club Mastercard

Card Number

 

Expiry date

I hereby authorise Macquarie University to deduct the total fees from my credit card

Signature…………………………………….…………………. ……………………….

Date

PLEASE FAX FORM TO (02) 9850 8351 (overseas: +61 2 9850 8351)

OR you may also scan and attach as a jpg OR mail the form and payment to Carol Oliver, Executive Officer, Australian Centre for Astrobiology, Department of Earth and Planetary Sciences, Macquarie University, Sydney NSW 2109, Australia OR if you need to pay by another means other than credit card send an e-mail to Carol Oliver for further advice first.

NOTES:

1. If you have NOT preregistered you will find you will be unable to book a room at the conference rate. Please send an email to Carol Oliver if you need to preregister.

2. If you are not an Australian citizen or permanent resident you MUST make sure you have adequate travel insurance and appropriate visa if applicable.

3. Cancellation: Full return of monies less 10% before May 15. Non-returnable after that date except for optional events.