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Conference Registration

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					                            ACIS Sixth Biennial Conference
                          Melbourne University 13-16 July 2011

                                   Conference Registration
                                       (Tax invoice for GST)


Personal Details

Title ___________ Name _____________________________________________________

Position title _________________________________________________________________

Organisation _________________________________________________________________

Postal address _______________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Telephone __________________________________________________________________

Email ______________________________________________________________________


Please advise if you have any dietary requirements:                       vegetarian meals
Other, please indicate: _________________________________________________________


An innovative aspect of the conference will involve the integrated use of mobile t echnology. We
encourage you to bring your own personal equipment. For this reason, could you please indicate
whether you intend to bring with you

 iPad          iPhone              iPod Touch              Laptop/Netbook

 Other Smartphone (e.g. Blackberry, Google Android, Nokia E72, etc.) – please indicate ………………
 none of the above
Registration Fees
Fees are in AUD$ and are inclusive of GST. Registration cost includes tea breaks and lunches.

           13-16 July Conference Registration                                                  Fees                         Amount
Early bird Registration (closes 1 February, 2011)                                                       $390            $
Full Registration (after 1 February, 2011)                                                              $420            $
Postgraduate Registration                                                                               $210            $
                Single day Registration
Single day Registration                                                                                 $160            $
Single day Registration – postgraduate                                                                    $80           $
                       Optional
Conference dinner (15 July 2011)                                                                          $95           $
Conference dinner – additional guest(s)                                                                   $95           $
                                                                                Total cost (incl. GST):                 $

Payment authorisation (please indicate method of payment)

    Credit card

Card type:         Visa                   Mastercard

Card number: _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _                                  Expiry Date: _____________

Cardholder’s name ______________________________ Total amount AUD$________

Cardholder’s signature ___________________________________ Date ____________

Cardholder’s email address _________________________________________________


    Cheque enclosed (Please make payment payable to The University of Melbourne)

Registration forms should be sent by post or email to:
Elisabetta Ferrari
School of Languages and Linguistics
Babel Building, room 311
The University of Melbourne
Parkville, 3010
Victoria, Australia

Email: eferrari@unimelb.edu.au

* By regis tering for this conference you a ccept that your pa rti cipa tion ma y be recorded (audio and/or video) for distri bution o ver the
Internet. For more informa tion, please conta ct Elisabetta Ferra ri : eferrari@unimelb.edu.au




For office use only
Account charging: _ _ / _ _ _ / _ _ / _ _ _ _ _ / _ _ _ / _ _ / _ _
Date:

				
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