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_____________________________________________________________________________________________________________________________________

Conference of Indigenous Peoples of Australia, New Zealand, Canada and the United States

INDIGENOUS PEOPLES AND RACISM

  Eastern Avenue Auditorium
University of Sydney

Sydney, Australia , 20-22 February 2001
_______________________________________________________________
 

 CONFERENCE REGISTRATION
 

CONTACT DETAILS

Title:

 

First Name:

 

Last Name:

 

Organisation/Institution:

 

Address:

 

Country:

 

Phone (W):

 

Fax (W):

 

Phone (After Hours):

   

Mobile:

 

Email:

 

Notes:

 
     

  Indigenous Participant

  Non-Indigenous Participant
 

All prices in Australian Dollars. One AUD = approx 55c USD
FULL REGISTRATION: INCLUDES ALL SESSIONS, MORNING & AFTERNOON TEAS AND LUNCHES; PRICES IN AUSTRALIAN DOLLARS, GST INCLUSIVE

No. of Persons

Amount

Conference Registration (three days) $475

One Day Registration $200:

Tues 20th   Wed 21st   Thu 22nd

Conference Dinner $50

 
TO COMPLETE GROUP BOOKING SEE GROUP ENTRY SECTION BELOW
 
DISCOUNTED REGISTRATION: (students, unwaged, voluntary community workers)

No. of Persons

Amount

 
Conference Registration $300

 

One Day Registration $130:

Tues 20th   Wed 21st   Thu 22nd

 
Conference Dinner $50

 
   GROUP BOOKING: Five Participants $1800 (Calculate additional persons pro-rata)
        

Name/Address/Contact Details of Group Participants
Dinner
+$50ea
1

First Name only - contact details as above

2
3
4
5
6
7
8

9

10

11

12

 
 
ACCOMMODATION:
UniLodge on Broadway, Sydney   $130 per room, per night

No. of Persons

 Amount

Other Date IN:

   

 

Monday 19 February 2001    
  Tuesday 20 February 2001    
  Wednesday 21 February 2001    
  Thursday 22 February 2001    

Other Date OUT:

     
 
AIR TRAVEL: Qantas has been appointed the official conference airline. A special conference fare has been negotiated of up to 45% off the full economy excluding taxes, subject to availability. To secure this discounted fare, please call Qantas on 1800 684 880 (toll free within Australia) and quite association profile number 1156562
 
  PAYMENT METHOD: SELECT CHEQUE OR CREDIT CARD (choose option below)
 

PAY BY CHEQUE in the amount of: AU$
       made payable to '
CWCC Conferences'
      
Centre for
Workplace
Communication &
Culture
TO REGISTER AND PAY BY CHEQUE:
- Register electronically by completing this form & pressing the submit button.
- A Tax Invoice will be sent to you to facilitate processing of your payment.
- Your online registration will be acknowledged by email and confirmed upon receipt of your payment in the post.


PAY BY CREDIT CARD

Authorisation for the amount of: $AU 

Nominate Card Type: >

Mastercard   Bankcard  Visa   Amex 

Cardholder's Name

Credit Card Number: 

Expiry Date (MM/YY) 

Signature: 

_____________________________
( when posting or faxing printed form )
TO REGISTER AND PAY BY CREDIT CARD:
Complete this form, print a copy and fax to the Conference Secretariat at (02) 9591 5762
International participants dial + 61 2 9591 5762
Acknowledgment and confirmation will be sent by email. A Tax Invoice (Receipt) will be provided for your records.
 
 

PLEASE COMPLETE THIS SECTION BEFORE SUBMITTING REGISTRATION

FULL NAME

EMAIL


 Field Title <realname> 


Field Title <email>

    

    


 
 

Cancellation Policy: On registration & accommodation - to 07 February 2001: 80% refund. After 08 February 2001: none.
Air travel: as per the terms of the ticket. We advise travel insurance.

CWCC/Racism Conference 2001, PO Box K481 Haymarket, Sydney 2000, Australia,
TEL: +61 (0)2 9787 6762, FAX: +61 (0)2 9591 5762, EMAIL registrations@racismconference.com
 

www.RacismConference.com
 

About  Themes  Speakers  Program  Presenters | Call for Papers  Registration  Contact  Links  Location  Media  THE REPORT  HOME
 

info@racismconference.com