REGISTRATION
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Registration Form

REGISTRATION CLOSED.
Below information for archival reference only. Do not fill in this form.

Please read the contents of the Registration Information section before filling in the Registration Form. Please take note of the Privacy Policy and the Cancellations and Refund Policy.

Register online by completing the form below. Your details will be sent to the Meeting Secretariat and your registration will be confirmed once your payment has been received.

(If you prefer, you can open a printable version of the form (PDF file: 29KB) - print and send it in by post or fax with your payment).


* denotes information you must supply to submit this form
 PERSONAL DETAILS
TITLE: * (eg. Prof/Dr/Mr/Ms)
SURNAME: * FIRST NAME: * (preferred for name badge)
DEPARTMENT: ORGANISATION:
STREET: * SUBURB: * POSTCODE: *
STATE: * COUNTRY: *
PHONE: * FAX:
EMAIL: *
 PRIVACY: My details can be included in the Participants List: Yes   No
 ACCOMPANYING PERSON(S)
   SURNAME, First Name
1.
2.
3.
4.
 SPECIAL REQUESTS: eg.dietary requirements, disability  (limit 250 characters)
 


 STUDENT TRAVEL GRANT
I will be applying for a Travel Grant: * Yes   No


 ACCOMMODATION / AIRPORT TRANSFER
I will make my own accommodation arrangements:* Yes   No, please make the following bookings for me
(if "Yes", skip down to the Registration Fees section below)
 HYATT-REGENCY ACCOMMODATION only provide following information if you selected "No" above
ARRIVAL DATE: /06/2003 *
DEPARTURE DATE: /06/2003 *
NO. OF NIGHTS: *
  $AUD per night. Deposit of one night's tarriff required.*
   Single  Double  Twin  Triple
STUDIO SUITE: $185 $185 $ 92.50 pp.   ---
PRESIDENT'S VILLA: $275 $275 $137.50 pp. $91.65 pp.
I WILL BE SHARING WITH:
I AM WILLING TO SHARE: with another male  with another female
 HYATT-REGENCY AIRPORT TRANSFER SERVICE
AIRLINE:
FLIGHT ARRIVAL TIME: at Sunshine Coast Airport
TRANSFER REQUIRED FOR: person(s) at $18pp return*
student(s) at $9pp return*
*payable on boarding the coach


REGISTRATION FEES
SOCIETY MEMBERSHIP: * IBMS      ANZBMS      neither
CONFERENCE REGISTRATION: * Type of Registration - $AUD
  Payment made 
by 19/03/03		 Payment made 
by 08/06/03		 Payment made
On-Site
MEMBER: $415 $465 $495
NON-MEMBER: $515 $565 $595
STUDENT MEMBER: $175 $225 $250
STUDENT NON-MEMBER: $ 275 $325 $350
DAY REGISTRATION: $ 215 $235 $250
Indicate which day:
NOT ATTENDING THE CONFERENCE: only attending the ISCD Course (below)
ISCD COURSE - Monday, 9 June: $395  Clinician Training Course & International Certification in Bone Densitometry


SOCIAL PROGRAM
Fees for social functions are included in full registration. Tickets for day registrants and guests are extra.
Please indicate which social functions you will be attending.
FUN RUN
WELCOME RECEPTION   extra ticket(s) at $50 each
CONFERENCE DINNER: Full Registration only - (ticket included in full registration fee, not in student registration fee)
CONFERENCE DINNER: Student Member discount - $70 (one ticket only)
  extra ticket(s) at $95 each


METHOD OF PAYMENT
Please select from the available payment options: *
CREDIT CARD (mail/phone/fax details) - Visa, Mastercard or Bankcard
INTERNATIONAL BANK DRAFT - in Australian dollars drawn on an Australian bank
CHEQUE - personal or company cheque (Australia only)
CASH - only if you have chosen an On-Site registration type and are arranging your own accommodation




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